KYNNADI AYRI WALLACE

STEPHENVILLE, TX
NPI1659266641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2025-06-10
Last Update Date2025-06-10
Business Address
KYNNADI AYRI WALLACE
1333 W WASHINGTON ST
STEPHENVILLE, TX 76401-4168
Phone number: 254-968-9186
Mailing Address
KYNNADI AYRI WALLACE
504 W CLOVER PARK DR
FORT WORTH, TX 76140-6545
Phone number: 682-559-2809