Individual
KIMBERLY WALLENCHECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 SIERRA AVE, SUITE 201, YUBA CITY, CA 95993-8986
(530) 671-4614
Mailing address
11476 LARKIN RD, LIVE OAK, CA 95953-9640
(530) 813-0991
(530) 695-1764
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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