Individual
MRS. ELIZABETH ANNE DEDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 241-8000
Mailing address
PO BOX 3952, LANDERS, CA 92285-0952
(760) 861-0368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95020328
CA
Other
Enumeration date
07/23/2022
Last updated
10/30/2024
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