DERRICK ESTIFANOS

CANOGA PARK, CA
NPI1063968097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-08-30
Last Update Date2023-12-01
Business Address
DERRICK ESTIFANOS
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303-4255
Phone number: 818-647-2653
Mailing Address
DERRICK ESTIFANOS
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303-4255
Phone number: 818-647-2653