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Derrick L Ross
Student in an Organized Health Care Education/Training Program in Suisun City, California
NPI 1184057440

Derrick L Ross is a Student in an Organized Health Care Education/Training Program based in Suisun City, CA. Derrick L Ross practices in Suisun City, CA. The NPI Number for Derrick L Ross is 1184057440 and holds a License No. (California).

The current practice location address for Derrick L Ross is 1205 Deanza Ct, Suisun City, CA and can be reached out via phone at 707-428-4118.

Location: 1205 Deanza Ct, Suisun City, CA, 94585-3222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184057440
Provider Name
Derrick L Ross
Credential
Provider Entity Type
Individual
Gender
Male
Address
1205 Deanza Ct, Suisun City, CA, 94585-3222
Phone Number
707-428-4118
Fax Number
Provider Enumeration Date
08/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1205 Deanza Ct
City
Suisun City
State
California
Zip
94585-3222
Phone Number
707-428-4118
Fax Number
person
Provider Business Mailing Address Details
Address
1205 Deanza Ct
City
Suisun City
State
California
Zip
94585-3222
Phone Number
707-428-4118
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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