DEREK DICAMILLO

SURPRISE, AZ
NPI1972105542
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  249881)
Enumeration Date2020-11-09
Last Update Date2020-11-22
Business Address
DEREK DICAMILLO FNP-C
16300 N 151ST LN
SURPRISE, AZ 85374-1487
Phone number: 623-694-8880
Mailing Address
DEREK DICAMILLO FNP-C
16300 N 151ST LN
SURPRISE, AZ 85374-1487
Phone number: 623-694-8880
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