MRS. Kore Io Eliza Wallace, LMP, MMP
NPI #1235489345 in Burnsville, North Carolina
Provider Information
- NPI Number
- 1235489345
- Entity Type
- Individual
- Name
- MRS. Kore Io Eliza Wallace, LMP, MMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMP, MMP
- Enumeration Date
- Sep 16, 2012
- Last Updated
- Sep 16, 2012
Practice Location
- Address
- 120 THIMBLEBERRY HOLW
- City
- Burnsville
- State
- North Carolina
- ZIP Code
- 28714-6362
- Phone
- (828) 231-9523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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