Whalio Doctors

NPI 1235982778

Jerusalem Desalgn Derbew

Practitioner Driver Dallas, TX

Practice location

Address
12225 Greenville Ave STE 703, Dallas, TX 75243-9362
Phone
(469) 748-7775
Mailing address
8250 Meadow Rd # 6314, Dallas, TX 75231-3745

Registered specialties

Driver Primary
Other Service Providers Taxonomy 172A00000X Licence 99-1864371 (TX)

Registry record

NPI
1235982778
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Apr 2024
Record last updated
24 May 2024

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.