Individual
KANIZEH HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 972-5100
Mailing address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 972-5100
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PH235323
MA
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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