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Derick Hairston, CPT

NPI 1568860708 · on the registry since 2014 · sole proprietor

Practice

Address
612 Larchmont Ave
Capitol Heights, MD 20743
Phone
(202) 910-2252

Registry record

Primary taxonomy
Contractor
171W00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-09

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 Maryland