DERRICK COEDNO CABICO

MENIFEE, CA
NPI1558943597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy136A00000X Dietetic Technician, Registered
(Licence: CA  86254119)
Additional Taxonomies136A00000X Dietetic Technician, Registered
Enumeration Date2021-04-27
Last Update Date2021-04-27
Business Address
-- DERRICK COEDNO CABICO
30394 LAMPLIGHTER LN
MENIFEE, CA 92584-6933
Phone number: 951-500-2104
Mailing Address
-- DERRICK COEDNO CABICO
30394 LAMPLIGHTER LN
MENIFEE, CA 92584-6933
Phone number: 951-500-2104