Individual
CARMEN ALICIA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 LYNDE ST, MELROSE, MA 02176
(617) 893-6362
Mailing address
24 LYNDE ST, MELROSE, MA 02176-4606
(617) 893-6362
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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