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Individual

DERRICK A FARHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Mailing address
2027 WINDMILL VIEW RD, EL CAJON, CA 92020-1351
(760) 300-6418

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
237550
CA

Other

Enumeration date
05/11/2011
Last updated
05/11/2011
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