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Contact Information

JOSE D HERRERA
3158 CEDAR GROVE DR
FAIRFAX, VA22031-1708
 Phone: 703-899-9918
 Fax: 703-281-3203
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vehicle Modifications

171WV0202X
Indicates primary specialty

NPI Profile & details for JOSE D HERRERA · (Male)

NPI # 1962855916
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2016
Last updated 07/14/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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