DERRICK DWAYNE NELSON

NORTHRIDGE, CA
NPI1336856939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2022-11-02
Last Update Date2022-11-02
Business Address
DERRICK DWAYNE NELSON
8330 RESEDA BLVD
NORTHRIDGE, CA 91324-4619
Phone number: 818-996-1051
Mailing Address
DERRICK DWAYNE NELSON
8330 RESEDA BLVD
NORTHRIDGE, CA 91324-4619
Phone number: 818-996-1051
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