DERRICK WATERS

LOGAN, OH
NPI1265159107
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2022-10-21
Last Update Date2022-10-21
Business Address
DERRICK WATERS
444 HENRIETTA AVE
LOGAN, OH 43138-1634
Phone number: 740-677-3152
Mailing Address
DERRICK WATERS
97 GROVER ST
NELSONVILLE, OH 45764-1076
Phone number: 740-677-3152
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