Individual
DERRICK J PERKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
361 E MAIN ST, OTHELLO, WA 99344-1055
(509) 488-3346
Mailing address
361 E MAIN ST, OTHELLO, WA 99344-1055
(509) 488-3346
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60843282
WA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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