Derick Green
Derick Green is a Home Health Aide in Youngstown, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
130 E Philadelphia AveYoungstown, OH 44507-1734
Phone: (330) 717-5661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X |
|---|
Record details
| NPI number | 1710591581 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2020 |
| Last updated in NPPES | August 31, 2020 |
| Certification date | August 31, 2020 |
| Mailing address | 130 E Philadelphia Ave, Youngstown, OH 44507-1734 |
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