Individual
DEREK CHRISTOPHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3233 E 123RD ST, CLEVELAND, OH 44120-3849
(614) 589-2664
Mailing address
3233 E 123RD ST, CLEVELAND, OH 44120-3849
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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