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Individual

DERRICK TORRALBA HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
3301 PONY EXPRESS DR, SACRAMENTO, CA 95834-1422
(916) 880-8228
Mailing address
3301 PONY EXPRESS DR, SACRAMENTO, CA 95834-1422

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN256721
CA

Other

Enumeration date
05/05/2011
Last updated
05/05/2011
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