Individual
DERALD R NORDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
1901 WEST LUGONIA AVENUE, SUITE 120, REDLANDS, CA 92374
(909) 557-1600
(909) 557-1740
Mailing address
PO BOX 8520, REDLANDS, CA 92374
(909) 557-1600
(909) 557-1740
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
350141
CA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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