Individual
DEREK REECE DESROSIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
NMCSD 34800 BOB WILSON BLVD, SAN DIEGO, CA 92134-0001
(619) 532-6400
Mailing address
1450 MARKET ST APT 541, SAN DIEGO, CA 92101-4164
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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