Derick T Mukom
Derick T Mukom is a Case Manager/Care Coordinator in Glenn Dale, Maryland. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
6911 Fountain Park DrGlenn Dale, MD 20769-9484
Phone: (832) 988-8970
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1013892074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2025 |
| Last updated in NPPES | October 23, 2025 |
| Certification date | October 23, 2025 |
| Mailing address | 6911 Fountain Park Dr, Glenn Dale, MD 20769-9484 |
Other providers in Glenn Dale
-
Mrs. Cynthia Yvonne Dawkins
8206 Woburn Abbey Rd, Glenn Dale, MD 20769-2023 · (301) 452-3327
-
Noela Njenu Doh, MD
5808 Sir Galahad Rd, Glenn Dale, MD 20769-8923 · (301) 835-8575
-
Yvette Joney
12223 Guinevere Rd, Glenn Dale, MD 20769-8937 · (240) 367-3067
-
Chantale Mbah
5810 Bell Station Rd, Glenn Dale, MD 20769-9133 · (480) 748-3098
-
Sergewell Munjei
6501 Wood Pointe Dr, Glenn Dale, MD 20769-2116 · (227) 722-0037
-
Alaingierece Nkamenkeen
6911 Fountain Park Dr, Glenn Dale, MD 20769-9484 · (240) 556-8000
-
Lovette Tafor Nkenyi
10903 Glenshire Dr, Glenn Dale, MD 20769-9160 · (240) 714-7835
-
Ethel Nkuo
7010 Corner Creek Way, Glenn Dale, MD 20769-9472 · (240) 870-0330