Individual
DEVIN SCOTT BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
4402 25TH ST SE, PUYALLUP, WA 98374-4175
(253) 219-4222
Mailing address
4402 25TH ST SE, PUYALLUP, WA 98374-4175
(253) 219-4222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA#00023930
WA
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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