Individual
ASIA DEVENAE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3003 LAKELAND CV STE C, FLOWOOD, MS 39232-9504
(601) 506-0482
Mailing address
832 SUSSEX PL UNIT A, RIDGELAND, MS 39157-1232
(601) 506-0482
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2602
MS
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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