Beau Ryan Herrera
Beau Ryan Herrera is a Student in an Organized Health Care Education/Training Program in Temecula, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
32555 Deer Hollow WayTemecula, CA 92592-1283
Phone: (951) 294-6450
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1598466765 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2023 |
| Last updated in NPPES | March 4, 2024 |
| Certification date | March 4, 2024 |
| Mailing address | 4739 Mansfield St Apt 7, San Diego, CA 92116-2451 |
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