DERRICK EARL WOOTEN

WASHINGTON, DC
NPI1568154680
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-05-25
Last Update Date2023-05-25
Business Address
DERRICK EARL WOOTEN
3423 5TH ST SE APT 12
WASHINGTON, DC 20032-5443
Phone number: 202-554-2199
Mailing Address
DERRICK EARL WOOTEN
250 MISSION BOULEVARD 305
BALTIMORE, MD 21230
Phone number: 443-929-4522