Individual
DORIS HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 WASHINGTON ST, 303, BRAINTREE, MA 02184-4729
(781) 848-3783
Mailing address
400 WASHINGTON ST, 303, BRAINTREE, MA 02184-4729
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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