Individual
DERECK TINGEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6411 ORCHARD AVE STE 301, TAKOMA PARK, MD 20912-4712
(301) 758-6588
Mailing address
7707 RIVERDALE RD APT 302, NEW CARROLLTON, MD 20784-3942
(202) 250-0283
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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