Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTINA N WALLACE, MASSAGE PRACTIONER
Active Sole ProprietorCHRISTINA N WALLACE, MASSAGE PRACTIONER is a Massage Therapist healthcare provider located in PENNGROVE, California. NPI 1639783848 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · PENNGROVE, CA
Registration Details
- NPI Number
- 1639783848
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 4, 2020 (5.942932386908 yrs)
- Last Updated
- Sep 4, 2020
- License
-
30660 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
308 OAK STREETPENNGROVE, CA, 94951Browse CA providers · Browse ZIP 94951
- Phone
- 7074311223
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.