Individual
MARISA DELIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 3RD ST STE 110, OAKLAND, CA 94607-3811
(510) 256-9882
Mailing address
3400 MACARTHUR BLVD # 277, OAKLAND, CA 94602-3824
(510) 256-9882
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95862
CA
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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