Derrick Smiley, CNA
Home Health Aide in Essex, MD. Individual provider (NPI-1).
NPI number1235487810
StatusActive
Last updated in NPPESAug 29, 2012
Details
- NPI
- 1235487810
- Entity type
- Individual (NPI-1)
- Name
- Mr. Derrick Smiley
- Credential
- CNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2012
- Last updated
- Aug 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | A00070221 | MD | Yes |
Practice location
1028 Foxcroft LaneEssex, MD 21221
Phone 571-435-6973
Mailing address
1028 Foxcroft LaneEssex, MD 21221
Phone 571-435-6973
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