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1124629258
LISSETH FERNANDEZ
MAYWOOD, NJ
NPI
1124629258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 0294041)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
LISSETH FERNANDEZ LMT
87 E SPRING VALLEY AVE
MAYWOOD, NJ 07607-2122
Phone number: 917-724-7695
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Mailing Address
LISSETH FERNANDEZ LMT
87 E SPRING VALLEY AVE
MAYWOOD, NJ 07607-2122
Phone number: 917-724-7695
Copy
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