Miriam N Hernandez
Miriam N Hernandez is a Methadone Clinic in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2021
Practice location Address checks out
23 Bradston StBoston, MA 02118-2703
Phone: (617) 318-6480
Fax: (617) 427-1263
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Specialties & licences
| Methadone Clinic (primary) | Taxonomy 261QM2800X · Licence LN64374 (MA) |
|---|
Record details
| NPI number | 1700464849 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2021 |
| Last updated in NPPES | March 30, 2021 |
| Certification date | March 30, 2021 |
| Mailing address | 23 Bradston St, Boston, MA 02118-2703 |
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