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Idrissa Derra
NPI 1194309989 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3906 Turnbridge Ct Unit 311
Brunswick, OH 44212 - Phone
- (216) 801-5639
- Organisation at this address
- Mbd Transport Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Sex
- Male
- Record last updated
- 2022-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio