Individual
DEREK LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
960 CHESTNUT RIDGE RD APT 208, MORGANTOWN, WV 26505-1509
(304) 888-3107
Mailing address
13 FIVE FORKS DR, MORGANTOWN, WV 26508-9024
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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