Individual
TOMARA DECOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3417 S ALSTON AVE, DURHAM, NC 27713-1517
(919) 886-7178
Mailing address
PO BOX 15702, DURHAM, NC 27704-0702
(919) 886-7178
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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