Individual
DERON YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4566H TEALTOWN RD, BATAVIA, OH 45103-1025
(513) 943-7496
Mailing address
5980 WAYSIDE CT, CINCINNATI, OH 45230-1314
(513) 236-6641
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2078737
—
OH
Enumeration date
12/04/2020
Last updated
12/04/2020
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