Derrick Coedno Cabico
NPI #1558943597 in Menifee, California
Provider Information
- NPI Number
- 1558943597
- Entity Type
- Individual
- Name
- Derrick Coedno Cabico
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietetic Technician, Registered
- Enumeration Date
- Apr 27, 2021
- Last Updated
- Apr 27, 2021
Practice Location
- Address
- 30394 LAMPLIGHTER LN
- City
- Menifee
- State
- California
- ZIP Code
- 92584-6933
- Phone
- (951) 500-2104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietetic Technician, Registered |
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