Individual
HARRY F DEROCHEMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 CAMINO DEL RIO N STE 202, SAN DIEGO, CA 92108-1523
(619) 317-3207
Mailing address
1640 CAMINO DEL RIO N STE 881256, SAN DIEGO, CA 92108-1506
(619) 317-3207
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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