DERRICK EARNEST MILLARD

GARY, IN
NPI1629885256
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2024-12-17
Last Update Date2024-12-17
Business Address
DERRICK EARNEST MILLARD
3953 ADAMS ST
GARY, IN 46408-2714
Phone number: 219-951-8684
Mailing Address
DERRICK EARNEST MILLARD
3953 ADAMS ST
GARY, IN 46408-2714
Phone number: 219-951-8684
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