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Lisseth Fernandez, LMT
Massage Therapist in Maywood, New Jersey
NPI 1124629258

Lisseth Fernandez is a Massage Therapist based in Maywood, NJ. Lisseth Fernandez practices in Maywood, NJ and has the professional credentials of LMT. The NPI Number for Lisseth Fernandez is 1124629258 and holds a License No. 0294041 (New Jersey).

The current practice location address for Lisseth Fernandez is 87 E Spring Valley Ave, Maywood, NJ and can be reached out via phone at 917-724-7695.

Location: 87 E Spring Valley Ave, Maywood, NJ, 07607-2122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124629258
Provider Name
Lisseth Fernandez
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
87 E Spring Valley Ave, Maywood, NJ, 07607-2122
Phone Number
917-724-7695
Fax Number
Provider Enumeration Date
11/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0294041 01 0294041
institution
Provider Business Practice Location Address Details
Address
87 E Spring Valley Ave
City
Maywood
State
New Jersey
Zip
07607-2122
Phone Number
917-724-7695
Fax Number
person
Provider Business Mailing Address Details
Address
87 E Spring Valley Ave
City
Maywood
State
New Jersey
Zip
07607-2122
Phone Number
917-724-7695
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
0294041 (New York)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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