Individual
ED R FERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
26076 IOWA AVE NE STE 1A, KINGSTON, WA 98346-9683
(619) 675-9985
Mailing address
19754 STAVANGER LOOP NE, POULSBO, WA 98370-6302
(619) 675-9985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61199947
WA
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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