Individual
BEN WALDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2019 GALISTEO ST STE H2, SANTA FE, NM 87505-2106
(505) 557-6140
Mailing address
13703 LITTLE POND RD, VALLEY CENTER, CA 92082-5841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT8595
NM
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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