Individual
CODY B DEVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3210 W OREGON RD, DEER PARK, WA 99006-9622
(509) 994-8835
Mailing address
PO BOX 2180, DEER PARK, WA 99006-2180
(509) 994-8835
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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