DEREK LEE JOHNSON

MORGANTOWN, WV
NPI1225820103
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2025-05-19
Last Update Date2025-05-19
Business Address
DEREK LEE JOHNSON
960 CHESTNUT RIDGE RD APT 208
MORGANTOWN, WV 26505-1509
Phone number: 304-888-3107
Mailing Address
DEREK LEE JOHNSON
13 FIVE FORKS DR
MORGANTOWN, WV 26508-9024
Phone number: