Deric Fitzgerald
NPI #1629403084 in Cerritos, California
Provider Information
- NPI Number
- 1629403084
- Entity Type
- Individual
- Name
- Deric Fitzgerald
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Sep 4, 2013
- Last Updated
- Mar 20, 2014
Practice Location
- Address
- 10929 SOUTH ST
- Address 2
- SUITE 208B
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-5340
- Phone
- (562) 924-5526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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