ISAAC GALEN WALLACE

DURHAM, NC
NPI1730227216
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: NC  9478)
Enumeration Date2007-02-05
Last Update Date2019-07-21
Business Address
MR. ISAAC GALEN WALLACE LMBT
3326 CHAPEL DR # 230
DURHAM, NC 27708-9964
Phone number: 919-251-8437
Mailing Address
MR. ISAAC GALEN WALLACE LMBT
3326 CHAPEL DR # 230
DURHAM, NC 27708-9964
Phone number: 919-251-8437
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