Individual
ILEANA NICTE GATICA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 SACRAMENTO ST, CAMBRIDGE, MA 02138-1812
(617) 354-2275
(617) 547-4356
Mailing address
5 SACRAMENTO ST, CAMBRIDGE, MA 02138-1812
(617) 354-2275
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/19/2009
Last updated
09/28/2010
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