DERRICK FIAN

VAN NUYS, CA
NPI1417734658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95026269)
Enumeration Date2023-09-12
Last Update Date2023-09-12
Business Address
DERRICK FIAN
14433 EMELITA ST
VAN NUYS, CA 91401-4213
Phone number: 805-816-7211
Mailing Address
DERRICK FIAN
14433 EMELITA ST
VAN NUYS, CA 91401-4213
Phone number:
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