KENYAN WALLACE

SANTA FE, NM
NPI1528772258
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: NM  MT9637)
Enumeration Date2023-01-09
Last Update Date2023-01-09
Business Address
KENYAN WALLACE LMT
1640 OLD PECOS TRL STE E
SANTA FE, NM 87505-4777
Phone number: 561-843-4380
Mailing Address
KENYAN WALLACE LMT
2934 CALLE DEL RES
SANTA FE, NM 87505-6716
Phone number: 561-843-4380