DERICK MICHAEL BOSLEY

SCRANTON, SC
NPI1033495270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
(Licence: SC  2348)
Enumeration Date2011-11-02
Last Update Date2011-11-02
Business Address
-- DERICK MICHAEL BOSLEY
1940 BOYD RD
SCRANTON, SC 29591-5835
Phone number: 843-389-9201
Mailing Address
-- DERICK MICHAEL BOSLEY
HC 86 BOX 418C
FORT ASHBY, WV 26719-9719
Phone number: 301-697-2500