Individual
MR. DERRICK RICHARD RAY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3617 OAKMAN BLVD APT 104, DETROIT, MI 48204-1204
(313) 468-0737
Mailing address
3617 OAKMAN BLVD APT 104, DETROIT, MI 48204-1204
(313) 468-0737
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
MI
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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