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1063968097
DERRICK ESTIFANOS
CANOGA PARK, CA
NPI
1063968097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-08-30
Last Update Date
2023-12-01
Business Address
DERRICK ESTIFANOS
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303-4255
Phone number: 818-647-2653
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Mailing Address
DERRICK ESTIFANOS
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303-4255
Phone number: 818-647-2653
Copy
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