Individual
KAYLA DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 439-6100
Mailing address
PO BOX 823, CLOUDCROFT, NM 88317-0823
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
206485
NM
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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