Individual
BRANDON RAY FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
48352 KEATON WAY, INDIO, CA 92201-8460
(442) 400-9544
Mailing address
48352 KEATON WAY, INDIO, CA 92201-8460
(442) 400-9544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90494
CA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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