Individual
DERRICK EVANS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 WESTGATE DR # B14C, DURHAM, NC 27707-2696
(919) 862-6750
Mailing address
581 E LENOIR ST APT H, RALEIGH, NC 27601-2486
(919) 862-6750
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20834
NC
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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