RICHARD ANTHONY DERRICK

SAN DIEGO, CA
NPI1760164982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-08-07
Last Update Date2023-08-07
Business Address
RICHARD ANTHONY DERRICK IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
RICHARD ANTHONY DERRICK IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number:
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