Kelvin Clarence Aquilizan Derrada
NPI #1295242899 in Lathrop, California
Provider Information
- NPI Number
- 1295242899
- Entity Type
- Individual
- Name
- Kelvin Clarence Aquilizan Derrada
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Jan 4, 2018
- Last Updated
- Jan 4, 2018
Practice Location
- Address
- 13405 BROOKWOOD WAY
- City
- Lathrop
- State
- California
- ZIP Code
- 95330-8920
- Phone
- (209) 982-9368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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