Individual
DERRICK ANTHONY TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 FLORIDA AVE NE APT 205, WASHINGTON, DC 20002-7965
(202) 883-2674
Mailing address
400 FLORIDA AVE NE APT 205, WASHINGTON, DC 20002-7965
(202) 883-2674
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
3995866
DC
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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