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Organization

MY WALDEN MASSAGE & HOLISTIC HEALTH SERVICES, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN ERNEST VELEZ LMT, BCTMB, CSSI (CEO)
(601) 401-4930
Entity
Organization

Contact information

Practice address
7048 OLD CANTON RD STE 2011, RIDGELAND, MS 39157-1008
(601) 401-4930
Mailing address
PO BOX 1113, MADISON, MS 39130-1113
(601) 401-4930

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
08/01/2024
Last updated
08/01/2024
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