DEREK DOMONIQUE BALTIMORE

WASHINGTON, DC
NPI1427876184
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
DEREK DOMONIQUE BALTIMORE
2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020-7024
Phone number: 202-547-8540
Mailing Address
DEREK DOMONIQUE BALTIMORE
2239 FARRINGTON AVE APT 202
ALEXANDRIA, VA 22303-1543
Phone number: 202-699-5310
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