Individual
DEVRA MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CIMI
Contact information
Practice address
1173 SEA ST # 1, QUINCY, MA 02169-3544
(774) 268-1407
Mailing address
1173 SEA ST # 1, QUINCY, MA 02169-3544
(774) 268-1407
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12801
MA
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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