Individual
MYRIAM CHARLES FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
35 WASHINGTON AVE, STONEHAM, MA 02180-3815
(617) 417-3553
Mailing address
PO BOX 760701, MELROSE, MA 02176-0012
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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