Individual
DENISE DEVEREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
902 PONDER PLACE CT, SUITE 2, EVANS, GA 30809-3115
(706) 993-6404
Mailing address
902 PONDER PLACE CT, SUITE 2, EVANS, GA 30809-3115
(706) 993-6404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7570
GA
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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