DERRICK LAMONT CHILDRESS

DANVILLE, VA
NPI1467148544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2023-04-12
Last Update Date2023-04-12
Business Address
DERRICK LAMONT CHILDRESS
145 NEW INGRAM RD APT B
DANVILLE, VA 24541-5156
Phone number: 434-713-6375
Mailing Address
DERRICK LAMONT CHILDRESS
145 NEW INGRAM RD APT B
DANVILLE, VA 24541-5156
Phone number: 434-713-6375