MRS. Elaine Sm Fernandes

NPI #1023326915 in Somerville, Massachusetts

Provider Information

NPI Number: 1023326915
Entity Type: Individual
Name: MRS. Elaine Sm Fernandes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Sep 14, 2010
Last Updated: Sep 14, 2010

Practice Location

Address: 61 MEDFORD ST
City: Somerville
State: Massachusetts
ZIP Code: 02143-3421
Phone: (617) 629-3919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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