Individual
STEPHANIE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6645 BROADWAY APT 6A, BRONX, NY 10471-2043
(646) 217-8509
Mailing address
6645 BROADWAY APT 6A, BRONX, NY 10471-2043
(646) 217-8509
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27023061
NY
Other
Enumeration date
09/26/2009
Last updated
09/26/2009
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