Individual
CELSA IDA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 BORDER ST, EAST BOSTON, MA 02128-2432
(161) 756-9650
Mailing address
42 HANCOCK ST, APT. 1, CHELSEA, MA 02150-1210
(617) 884-5128
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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