ANTHONY DERAS

LOUISVILLE, KY
NPI1144191172
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-09-15
Last Update Date2025-09-15
Business Address
-- ANTHONY DERAS
500 S PRESTON ST RM 306
LOUISVILLE, KY 40202-1702
Phone number: 859-957-5045
Mailing Address
-- ANTHONY DERAS
500 S PRESTON ST RM 306
LOUISVILLE, KY 40202-1702
Phone number: 859-957-5045