Individual
DONNA M DEVANNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1320 BROAD ST, DURHAM, NC 27705-3533
(919) 451-9552
Mailing address
4811 POINTE PL, DURHAM, NC 27712-9721
(919) 451-9552
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2856
NC
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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