Derrick Bines
Derrick Bines is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
2222 Bancroft Way Spc 4300Berkeley, CA 94720-4300
Phone: (510) 642-9494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1720583131 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 27, 2018 |
| Last updated in NPPES | March 27, 2018 |
| Mailing address | 1301 Ferry St Apt 4, Eugene, OR 97401-6304 |
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