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Diana Hernandez, LPN

Licensed Practical Nurse in Dorchester, MA. Individual provider (NPI-1).

NPI number1922472984
StatusActive
Last updated in NPPESNov 13, 2015

Details

NPI
1922472984
Entity type
Individual (NPI-1)
Name
Diana Hernandez
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2015
Last updated
Nov 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLN92206MAYes

Practice location

415 Columbia Rd
Dorchester, MA 02125-2424

Phone 617-287-8000

Mailing address

415 Columbia Rd
Dorchester, MA 02125-2424

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