Individual
DARCY DEBERNARDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LE, COE
Contact information
Practice address
2902 W COAST HWY, NEWPORT BEACH, CA 92663-4015
(714) 292-0296
Mailing address
2973 HARBOR BLVD # 780, COSTA MESA, CA 92626-3912
(714) 292-0296
(714) 434-8354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z85201
CA
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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