Individual
MR. DERYK MASON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1241 W FOOTHILL BLVD, UPLAND, CA 91786-3681
(909) 985-2713
Mailing address
11474 TIOGA PEAK CT, RANCHO CUCAMONGA, CA 91737-8804
(909) 313-1192
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
287724
CA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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