Individual
LUCINDA P. FIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 287-8000
(617) 287-1500
Mailing address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 287-8000
(617) 287-1500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2313912
MA
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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