Christina N Wallace, MASSAGE PRACTIONER
NPI #1639783848 in Penngrove, California
Provider Information
- NPI Number
- 1639783848
- Entity Type
- Individual
- Name
- Christina N Wallace, MASSAGE PRACTIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- MASSAGE PRACTIONER
- Enumeration Date
- Sep 4, 2020
- Last Updated
- Sep 4, 2020
Practice Location
- Address
- 308 OAK STREET
- City
- Penngrove
- State
- California
- ZIP Code
- 94951
- Phone
- (707) 431-1223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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