DERRICK LOCK

RIVERSIDE, CA
NPI1669091856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-09
Last Update Date2020-04-09
Business Address
DERRICK LOCK
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-788-3274
Mailing Address
DERRICK LOCK
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number:
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