Individual
MR. DEREK SEAN DOPPELHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2775
Mailing address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2775
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
698224
CA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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