Individual
JOSE ANGEL FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
540 E 42ND ST, HIALEAH, FL 33013-2350
(305) 984-6806
Mailing address
540 E 42ND ST, HIALEAH, FL 33013-2350
(305) 984-6806
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA67415
FL
Other
Enumeration date
03/04/2012
Last updated
03/04/2012
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