MIRIAM N HERNANDEZ

BOSTON, MA
NPI1700464849
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM2800X Clinic/Center, Methadone Clinic
(Licence: MA  LN64374)
Enumeration Date2021-03-30
Last Update Date2021-03-30
Business Address
MIRIAM N HERNANDEZ
23 BRADSTON ST
BOSTON, MA 02118-2703
Phone number: 617-318-6480
Mailing Address
MIRIAM N HERNANDEZ
23 BRADSTON ST
BOSTON, MA 02118-2703
Phone number: 617-318-6480