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Individual

DERRICK JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
56 GALVESTON ST SW, WASHINGTON, DC 20032-1997
(202) 486-1755
Mailing address
56 GALVESTON ST SW APT 101, WASHINGTON, DC 20032-1924
(202) 486-1755

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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