Individual
DEREK LAMONT TRYIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9245 LAGUNA SPRINGS DR STE 213, ELK GROVE, CA 95758-7991
(916) 529-2359
Mailing address
9245 LAGUNA SPRINGS DR STE 213, ELK GROVE, CA 95758-7991
(916) 529-2359
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
35960R1
CA
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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