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NPI 1881397396

IndividualActive

Derick Mimba

NPI 1881397396 · Community Health Worker · Silver Spring, MD

Provider details

NPI number: 1881397396
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Practice location

14333 Rosetree Ct

Silver Spring, MD 20906-1939

Phone: (410) 710-7481

More MD providers

Mailing address

14333 Rosetree Ct

Silver Spring, MD 20906-1939

Registry dates

Enumerated: 2023-03-23
Last updated: 2023-03-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Derick Mimba — NPI 1881397396, Silver Spring, MD | NPI Central