DERRICK BRENT FREEMAN

MODESTO, CA
NPI1790208544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  54664)
Enumeration Date2017-07-24
Last Update Date2017-07-24
Business Address
DERRICK BRENT FREEMAN
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-578-1211
Mailing Address
DERRICK BRENT FREEMAN
2020 LARRY PL
LIVERMORE, CA 94550-6469
Phone number: 925-784-3453
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