MR. Derrick L King

NPI #1194401877 in Pontiac, Michigan

Provider Information

NPI Number: 1194401877
Entity Type: Individual
Name: MR. Derrick L King
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Jun 26, 2023
Last Updated: Jun 26, 2023

Practice Location

Address: 58 KAREN CT # 3
City: Pontiac
State: Michigan
ZIP Code: 48340-1637
Phone: (248) 805-6859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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