Derek Bay Petta
Derek Bay Petta is a Case Manager/Care Coordinator in Eureka, California. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
720 Wood StEureka, CA 95501-4413
Phone: (707) 268-2990
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1467756601 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2011 |
| Last updated in NPPES | February 12, 2018 |
| Mailing address | 720 Wood St, Eureka, CA 95501-4413 |
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