Individual
DARREN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1699 E WASHINGTON ST APT 1313, COLTON, CA 92324-4672
(909) 379-2550
Mailing address
1699 E WASHINGTON ST APT 1313, COLTON, CA 92324-4672
(909) 379-2550
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
08/14/2025
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