Individual
MRS. LARISSA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3221 MELANIE RD, MARINA, CA 93933-2625
(831) 210-9402
Mailing address
3221 MELANIE RD, MARINA, CA 93933-2625
(831) 210-9402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
11/08/2025
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