Individual
DERRICK CERAOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1918 BERKSHIRE ST, OXNARD, CA 93033-6701
(805) 844-6072
Mailing address
1918 BERKSHIRE ST, OXNARD, CA 93033-6701
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN244903
CA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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