Individual
MISS HERMILIE HORATIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
37 BRADLEE ST, APT 3, DORCHESTER, MA 02124-1157
(857) 284-3501
Mailing address
PO BOX 220385, DORCHESTER, MA 02122-0015
(857) 284-3501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2286219
MA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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