DERRICK J DIZON

LOS ANGELES, CA
NPI1902654544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  305377)
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
DERRICK J DIZON
619 N FAIRFAX AVE
LOS ANGELES, CA 90036-1714
Phone number: 323-651-0043
Mailing Address
DERRICK J DIZON
10938 SANTA CLARA CT
RANCHO CUCAMONGA, CA 91701-4432
Phone number: 626-824-2985