ANDRE LAMAR WALLACE

PHILADELPHIA, PA
NPI1578178844
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: PA  MSG007581)
Enumeration Date2020-09-13
Last Update Date2020-09-13
Business Address
-- ANDRE LAMAR WALLACE
435 W ROOSEVELT BLVD APT 2
PHILADELPHIA, PA 19120-4148
Phone number: 215-435-5560
Mailing Address
-- ANDRE LAMAR WALLACE
435 W ROOSEVELT BLVD APT 2
PHILADELPHIA, PA 19120-4148
Phone number: 215-435-5560
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