Individual
DEON SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4918 70TH PL, HYATTSVILLE, MD 20784-1634
(216) 316-3099
Mailing address
4918 70TH PL, HYATTSVILLE, MD 20784-1634
(216) 316-3099
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
153060
OH
164W00000X
Licensed Practical Nurse
LP50956
MD
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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