Individual
DERRON HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 BRIGHTON AVE, TOLEDO, OH 43609-2935
(419) 277-8287
Mailing address
725 BRIGHTON AVE, TOLEDO, OH 43609-2935
(419) 277-8287
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
ST459718
OH
347C00000X
Private Vehicle
ST459718
OH
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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