Individual
MR. DEREK RICHARDSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1123 BROOKE PARK DR, TOLEDO, OH 43612-4217
(419) 309-9941
Mailing address
1123 BROOKE PARK DR, TOLEDO, OH 43612-4217
(419) 309-9941
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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