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DERRILL W. FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
11313 8TH ST E, EDGEWOOD, WA 98372-1148
(253) 517-1500
(253) 517-1505
Mailing address
11313 8TH ST E, EDGEWOOD, WA 98372-1148
(253) 517-1500
(253) 517-1505

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN 00101053
WA

Other

Enumeration date
12/26/2012
Last updated
12/26/2012
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