DERRICK BLACKWELL

WASHINGTON, DC
NPI1033809744
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-05-08
Last Update Date2023-05-08
Business Address
DERRICK BLACKWELL
2759 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032-2646
Phone number: 202-827-9961
Mailing Address
DERRICK BLACKWELL
2750 LORRING DR APT 301
DISTRICT HEIGHTS, MD 20747-3438
Phone number: 202-549-4362