Individual
DERRICK HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
12980 FREDERICK ST, SUITE I, MORENO VALLEY, CA 92553-5263
(951) 243-3868
(951) 243-3340
Mailing address
12980 FREDERICK ST, SUITE I, MORENO VALLEY, CA 92553-5263
(951) 243-3868
(951) 243-3340
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP 19689
CA
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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