DERICK L HAIRSTON

CAPITOL HEIGHTS, MD
NPI1568860708
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Enumeration Date2014-12-19
Last Update Date2015-01-09
Business Address
Mr. DERICK L HAIRSTON CPT
612 LARCHMONT AVE
CAPITOL HEIGHTS, MD 20743-2839
Phone number: 202-910-2252
Mailing Address
Mr. DERICK L HAIRSTON CPT
612 LARCHMONT AVE BLOODWORKS
CAPITOL HEIGHTS, MD 20743-2839
Phone number: 202-910-2252