NPI 1174268080
Ventura Derek McLee
Practice location
- Address
- 5214 Beaufort Ave, Baltimore, MD 21215-5021
- Phone
- (443) 326-5964
- Mailing address
- 9805 Dameron Dr, Silver Spring, MD 20902-5717
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1174268080
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 May 2022
- Record last updated
- 4 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.