Deric Fitzgerald
Deric Fitzgerald is a Student in an Organized Health Care Education/Training Program in Cerritos, California. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
10929 S St Ste 208BCerritos, CA 90703-5340
Phone: (562) 924-5526
Fax: (562) 924-1040
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1629403084 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 4, 2013 |
| Last updated in NPPES | March 20, 2014 |
| Mailing address | 10929 South St, Suite 208b, Cerritos, CA 90703-5340 |
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