Individual
MRS. BARBARA ELLEN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-6784
Mailing address
14 HERON ST, UNIT 101, WEST ROXBURY, MA 02132-4100
(617) 323-3023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1970
MA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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