Individual
DIANE J FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
159 W MAPLEHURST ST, FERNDALE, MI 48220-2716
(248) 821-8555
(248) 548-6657
Mailing address
159 W MAPLEHURST ST, FERNDALE, MI 48220-2716
(248) 821-8555
(248) 548-6657
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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