DERRICK TYLER KING

DURHAM, NC
NPI1467766162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  208558)
Enumeration Date2010-08-05
Last Update Date2010-08-05
Business Address
-- DERRICK TYLER KING CRNA
ERWIN RD
DURHAM, NC 27710-0001
Phone number: 919-684-3595
Mailing Address
-- DERRICK TYLER KING CRNA
ERWIN RD
DURHAM, NC 27710-0001
Phone number: 919-684-3595
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