Derrick Lamont Souder Jr.
Derrick Lamont Souder Jr. is an Attendant Care Provider in Washington, District of Columbia. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
628 Navy Pl SEWashington, DC 20003
Phone: (240) 714-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1659198356 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 24, 2024 |
| Last updated in NPPES | September 24, 2024 |
| Certification date | September 18, 2024 |
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