person
Mr. Derek Lamont Cousins
Student in an Organized Health Care Education/Training Program in Norfolk, Virginia
NPI 1306617154

Derek Lamont Cousins is a Student in an Organized Health Care Education/Training Program based in Norfolk, VA. Derek Lamont Cousins practices in Norfolk, VA. The NPI Number for Derek Lamont Cousins is 1306617154 and holds a License No. (Virginia).

The current practice location address for Derek Lamont Cousins is 825 Fairfax Ave, Norfolk, VA and can be reached out via phone at 757-446-5600.

Location: 825 Fairfax Ave, Norfolk, VA, 23507-1912
person
Provider Profile Details
NPI Number
1306617154
Provider Name
Derek Lamont Cousins
Credential
Provider Entity Type
Individual
Gender
Male
Address
825 Fairfax Ave, Norfolk, VA, 23507-1912
Phone Number
757-446-5600
Fax Number
Provider Enumeration Date
01/10/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
825 Fairfax Ave
City
State
Zip
23507-1912
Phone Number
757-446-5600
Fax Number
person
Provider Business Mailing Address Details
Address
825 Fairfax Ave
City
State
Zip
23507-1912
Phone Number
757-446-5600
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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