Individual
DANIELLA CHRISTINA DERKAOUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 404-2321
Mailing address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 404-2321
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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