Individual
DERRICK EARL WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3423 5TH ST SE APT 12, WASHINGTON, DC 20032-5443
(202) 554-2199
Mailing address
250 MISSION BOULEVARD, 305, BALTIMORE, MD 21230
(443) 929-4522
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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