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Candida Devivo, LMBT
Massage Therapist in Wake Forest, North Carolina
NPI 1730878687

Candida Devivo is a Massage Therapist based in Louisburg, NC. Candida Devivo practices in Wake Forest, NC and has the professional credentials of LMBT. The NPI Number for Candida Devivo is 1730878687 and holds a License No. 14886 (North Carolina).

The current practice location address for Candida Devivo is 853 Durham Rd Ste H, Wake Forest, NC and can be reached out via phone at 919-556-1092.

Location: 853 Durham Rd Ste H, Wake Forest, NC, 27549-6471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730878687
Provider Name
Candida Devivo
Credential
LMBT
Provider Entity Type
Individual
Gender
Female
Address
853 Durham Rd Ste H, Wake Forest, NC, 27549-6471
Phone Number
919-556-1092
Fax Number
Provider Enumeration Date
05/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
853 Durham Rd Ste H
City
Wake Forest
State
North Carolina
Zip
27587-8793
Phone Number
919-556-1092
Fax Number
person
Provider Business Mailing Address Details
Address
853 Durham Rd Ste H
City
Wake Forest
State
North Carolina
Zip
27587-8793
Phone Number
919-556-1092
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
14886 (North Carolina)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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