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Individual

DERRICK S HOGAN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3628 MADISON AVE STE 6, NORTH HIGHLANDS, CA 95660-5070
(916) 388-3231
(916) 388-3232
Mailing address
3780 ROSIN CT STE 110, SACRAMENTO, CA 95834-1698
(916) 441-0226

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
CA
372600000X
Adult Companion
Primary
CA

Other

Enumeration date
01/24/2025
Last updated
12/23/2025
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