Individual
DERICK FOLEFAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5427 56TH AVE APT 6, RIVERDALE, MD 20737-2485
(240) 906-4656
Mailing address
5427 56TH AVE APT 6, RIVERDALE, MD 20737-2485
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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