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Individual

MARIA DELORIS DERISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
4077 FIFTH AVE, MER 52, SAN DIEGO, CA 92103-2105
(619) 260-7200
Mailing address
10450 LA VITA CT, SAN DIEGO, CA 92131-2338
(858) 693-7398

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH 50487
CA

Other

Enumeration date
09/29/2011
Last updated
09/29/2011
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