Kimberly Wallencheck

NPI #1720520521 in Yuba City, California

Provider Information

NPI Number: 1720520521
Entity Type: Individual
Name: Kimberly Wallencheck
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Nov 9, 2016
Last Updated: Nov 9, 2016

Practice Location

Address: 1650 SIERRA AVE
Address 2: SUITE 201
City: Yuba City
State: California
ZIP Code: 95993-8986
Phone: (530) 671-4614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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