Individual
MR. DERRICK WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5807
(909) 980-6700
Mailing address
25910 ACERO STE 160, MISSION VIEJO, CA 92691-2777
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
05/15/2017
Last updated
04/14/2025
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