Provider Demographics
NPI:1952666869
Name:CARDENAS, DAISY (MPH)
Entity Type:Individual
Prefix:MISS
First Name:DAISY
Middle Name:
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:678 MASS AVE STE 502
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3363
Mailing Address - Country:US
Mailing Address - Phone:617-234-5340
Mailing Address - Fax:617-234-5344
Practice Address - Street 1:678 MASS AVE STE 502
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-3363
Practice Address - Country:US
Practice Address - Phone:617-234-5340
Practice Address - Fax:617-234-5344
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management