Individual
MR. DERRICK EDWARD WEST II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15480 STRAIGHT ARROW RD APT B, APPLE VALLEY, CA 92307-3068
(760) 686-9387
Mailing address
15480 STRAIGHT ARROW RD APT B, APPLE VALLEY, CA 92307-3068
(760) 686-9387
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
9961
CA
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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