Individual
DR. MARY JENNIFER DEREBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 W 3RD ST, SUITE 111, LOS ANGELES, CA 90057-1944
(213) 483-9930
(213) 483-0905
Mailing address
2100 W 3RD ST, SUITE 111, LOS ANGELES, CA 90057-1944
(213) 483-9930
(213) 483-0905
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
C42073
CA
Other
Enumeration date
10/12/2006
Last updated
08/15/2013
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