Individual
MR. DEREK ALEXANDER MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
145 KING OF PRUSSIA RD, RADNOR, PA 19087-4557
(267) 593-4359
Mailing address
201 S 18TH ST APT 505, PHILADELPHIA, PA 19103-5902
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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