DERRICK AUTRY

SYLMAR, CA
NPI1750276135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2025-06-09
Last Update Date2025-06-09
Business Address
DERRICK AUTRY
14139 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 818-290-5309
Mailing Address
DERRICK AUTRY
14139 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 818-290-5309
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