Derron Horton Valid NPI
Individual provider · Driver · Toledo, OH
- NPI
- 1053084244
- Type
- Individual (Type 1)
- Primary specialty
- Driver
- Specialty group
- Other Service Providers
- Taxonomy code
- 172A00000X
- License number
- ST459718 (OH)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-07-26
- Last updated
- 2021-07-26
Practice location
725 Brighton Ave
Toledo, OH 43609-2935
(419) 277-8287