Search › Ohio › 101YA0400X
Derrell Fuqua, CDCA
NPI 1780158444 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2529 Bridgeport Dr
Dayton, OH 45406 - Phone
- (937) 278-0869
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-16
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 Ohio