Individual
DERICK SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 BRIDGE ST, APT 94, YUBA CITY, CA 95993-8600
(530) 415-6499
Mailing address
1525 BRIDGE ST, APT 94, YUBA CITY, CA 95993-8600
(530) 415-6499
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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