Individual
DERRIKA NIMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21901 MONETA AVE UNIT 43, CARSON, CA 90745-2858
(310) 946-1563
Mailing address
21901 MONETA AVE UNIT 43, CARSON, CA 90745-2858
(310) 946-1563
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11996
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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