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Kelvin Clarence Aquilizan Derrada
Licensed Vocational Nurse in Lathrop, California
NPI 1295242899

Kelvin Clarence Aquilizan Derrada is a Licensed Vocational Nurse based in Lathrop, CA. Kelvin Clarence Aquilizan Derrada practices in Lathrop, CA. The NPI Number for Kelvin Clarence Aquilizan Derrada is 1295242899 and holds a License No. 280438 (California).

The current practice location address for Kelvin Clarence Aquilizan Derrada is 13405 Brookwood Way, Lathrop, CA and can be reached out via phone at 209-982-9368.

Location: 13405 Brookwood Way, Lathrop, CA, 95330-8920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295242899
Provider Name
Kelvin Clarence Aquilizan Derrada
Credential
Provider Entity Type
Individual
Gender
Male
Address
13405 Brookwood Way, Lathrop, CA, 95330-8920
Phone Number
209-982-9368
Fax Number
Provider Enumeration Date
01/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13405 Brookwood Way
City
Lathrop
State
California
Zip
95330-8920
Phone Number
209-982-9368
Fax Number
person
Provider Business Mailing Address Details
Address
13405 Brookwood Way
City
Lathrop
State
California
Zip
95330-8920
Phone Number
209-982-9368
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
280438 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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