Derrick L Ross

NPI #1184057440 in Suisun City, California

Provider Information

NPI Number: 1184057440
Entity Type: Individual
Name: Derrick L Ross
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 9, 2013
Last Updated: Aug 9, 2013

Practice Location

Address: 1205 DEANZA CT
City: Suisun City
State: California
ZIP Code: 94585-3222
Phone: (707) 428-4118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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