Individual
DR. TASHAUNA RAE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1519 BASIN ST SW, EPHRATA, WA 98823-2135
(509) 431-3553
Mailing address
924 S DIVISION ST APT 122, MOSES LAKE, WA 98837-3251
(509) 431-3553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60946902
WA
Other
Enumeration date
04/08/2019
Last updated
06/11/2019
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