Individual
ANICIA FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 ANNUNCIATION RD, ROXBURY, MA 02120-1808
(857) 308-3000
Mailing address
68 ANNUNCIATION RD, ROXBURY, MA 02120-1808
(857) 308-3000
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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