Derrick Waters
Derrick Waters is a Home Health Aide in Logan, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
444 Henrietta AveLogan, OH 43138-1634
Phone: (740) 677-3152
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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 | 1265159107 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 21, 2022 |
| Last updated in NPPES | October 21, 2022 |
| Certification date | October 21, 2022 |
| Mailing address | 97 Grover St, Nelsonville, OH 45764-1076 |
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