Individual
DERICK SONJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
4507 LYONS RUN CIR APT T3, OWINGS MILLS, MD 21117-6979
(571) 277-0779
Mailing address
4507 LYONS RUN CIR APT T3, OWINGS MILLS, MD 21117-6979
(571) 277-0779
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R204750
MD
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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