Individual
DOMINIQUE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1450 5TH ST SE STE 4400, PUYALLUP, WA 98372-4691
(253) 881-1362
(253) 881-1368
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
(253) 581-5200
(253) 581-5203
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60973322
WA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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