Individual
DEANNA KAY BLEVINS
Active
Individual
DEANNA KAY BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, CR
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
CERTIFIED
WA
225700000X
Massage Therapist
Primary
MA00023072
WA
Other
Enumeration date
02/09/2009
Last updated
07/25/2014
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