Individual
SANDRA HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Mailing address
42 W EMERSON ST, APT 18, MELROSE, MA 02176-3130
(617) 620-0129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2265040
MA
Other
Enumeration date
12/01/2013
Last updated
12/08/2013
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