Individual
DERICK ABONG ACHOMBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6114 BREEZEWOOD DR APT 202, GREENBELT, MD 20770-4143
(240) 413-3166
Mailing address
6114 BREEZEWOOD DR APT 202, GREENBELT, MD 20770-4143
(240) 413-3166
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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