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Derrick Johnson, MS
NPI 1942473186 · on the registry since 2008 · sole proprietor
Practice
- Address
- 7601 Matapeake Business Drive
Brandywine, MD 20613 - Phone
- (301) 758-6857
- Organisation at this address
- Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Audiologist
231H00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-07-16
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