Individual
JAHNNAE MONIQUE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3111 N HOUSTON ST APT 2607, DALLAS, TX 75219-7890
(469) 560-6217
Mailing address
3111 N HOUSTON ST APT 2607, DALLAS, TX 75219-7890
(469) 560-6217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT141323
TX
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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