Individual
DERRICK JEROME FELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 SHOOP AVE, DAYTON, OH 45417-2351
(937) 268-6830
Mailing address
415 SHOOP AVE, DAYTON, OH 45417-2351
(937) 268-6830
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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