Individual
NICOLE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1729 DOUGLAS AVE, STROUDSBURG, PA 18360-1006
(570) 534-4118
Mailing address
1729 DOUGLAS AVE, STROUDSBURG, PA 18360-1006
(570) 534-4118
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG007517
PA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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