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Derrick Mathis, ALFA
NPI 1780822841 · on the registry since 2009 · sole proprietor
Practice
- Address
- 9827 Sudley Manor Dr
Manassas, VA 20109 - Phone
- (703) 530-7751
Registry record
- Primary taxonomy
- Nursing Home Administrator
376G00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-28
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 Virginia