Doctor Name: | JENINE FERNANDEZ |
NPI Number: | 1104226042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 53159 |
Business Practice Address: | 9790 Sw 58th St Miami, FL - 331731493 |
Business Phone Number: | 7866030196 |
Business Fax Number: | |
Mailing Address: | 9790 Sw 58 St, MIAMI |
State: | FL |
Postal Code: | 33173 |
Phone Number: | 7866030196 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2014 |
NPI Last Update Date: | 08/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 53159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |