DERECK L DILLARD

NEWARK, NJ
NPI1093015000
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2010-10-25
Last Update Date2022-05-05
Business Address
Mr. DERECK L DILLARD
870 S ORANGE AVE
NEWARK, NJ 07106-1944
Phone number: 646-355-5583
Mailing Address
Mr. DERECK L DILLARD
870 S ORANGE AVE
NEWARK, NJ 07106-1944
Phone number: 646-355-5583