Individual
JUAN H FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5809 SW 41ST ST, MIAMI, FL 33155-5307
(786) 399-2788
(786) 464-0624
Mailing address
5809 SW 41ST ST, MIAMI, FL 33155-5307
(786) 399-2788
(786) 464-0624
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61056
FL
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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