Individual
DERRICK LEE MAGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1560 CAPALINA RD, SAN MARCOS, CA 92069-1288
(760) 744-2104
(760) 744-1382
Mailing address
35395 CORTE SAN FELIPE, WINCHESTER, CA 92596
(760) 670-7732
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
682958
CA
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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