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Individual

MRS. CHANDRA ENRIGHT-WALLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, NCBTMB

Contact information

Practice address
102 S TEJON ST, SUITE 102A, COLORADO SPRINGS, CO 80903-2231
(719) 784-3330
Mailing address
102 S TEJON ST, SUITE 102A, COLORADO SPRINGS, CO 80903-2231
(719) 784-3330

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12775
CO

Other

Enumeration date
10/20/2014
Last updated
03/17/2016
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