DEREK DOUGLAS MCDONOUGH

HANFORD, CA
NPI1245910686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95025667)
Enumeration Date2023-07-20
Last Update Date2023-07-20
Business Address
Mr. DEREK DOUGLAS MCDONOUGH
1524 W LACEY BLVD
HANFORD, CA 93230-5965
Phone number: 559-537-0340
Mailing Address
Mr. DEREK DOUGLAS MCDONOUGH
PO BOX 396
HANFORD, CA 93232-0396
Phone number:
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