Individual
MR. DERECK L DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
870 S ORANGE AVE, NEWARK, NJ 07106-1944
(646) 355-5583
Mailing address
870 S ORANGE AVE, NEWARK, NJ 07106-1944
(646) 355-5583
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/25/2010
Last updated
05/05/2022
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