Individual
MR. DEWIN NICOLAS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(781) 375-5322
Mailing address
12 TYLER ST, SOMERVILLE, MA 02143-3241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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