Individual
MR. BERNARD LAWSON DEROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN,CADC
Contact information
Practice address
651 I ST, SACRAMENTO, CA 95814-2400
(916) 874-5656
Mailing address
9444 HARBOUR POINT DR, 198, ELK GROVE, CA 95758-3714
(530) 867-5648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
633501
CA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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