Individual
DEREK EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(442) 282-4909
Mailing address
83160 EMERALD AVE, INDIO, CA 92201-3219
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
175T00000X
CA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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