Individual
COLLEEN K DEVERAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16720 SE 271ST ST, STE 200, COVINGTON, WA 98022
(253) 630-5808
(253) 630-6438
Mailing address
26837 MAPLE VALLEY HWY, #200, MAPLE VALLEY, WA 98038
(425) 413-4427
(425) 413-4429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014516
WA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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