Derick Jermaine Gerideau

NPI #1053022426 in Lithonia, Georgia

Provider Information

NPI Number
1053022426
Entity Type
Individual
Name
Derick Jermaine Gerideau
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Contractor
Enumeration Date
Dec 7, 2022
Last Updated
Dec 7, 2022

Practice Location

Address
5517 TUNBRIDGE WELLS RD
State
Georgia
ZIP Code
30058-5670
Phone
(404) 663-8342

Specialties & Taxonomy Codes

Specialty
Contractor

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