Individual
DEVIN DEMYANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
110 WHITFORD DRIVE WD MURRAY BUILDING RM 212, DURHAM, NC 27708-0001
(919) 668-5626
(919) 684-9981
Mailing address
1304 COZART ST UNIT 217, DURHAM, NC 27704-6219
(570) 778-6385
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-1712
NC
Other
Enumeration date
03/18/2020
Last updated
11/27/2023
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