DEREK R SUMMERS

SAN DIEGO, CA
NPI1295353175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-07-08
Last Update Date2020-07-08
Business Address
DEREK R SUMMERS IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-392-5782
Mailing Address
DEREK R SUMMERS IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-392-5782
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