Derrick Coedno Cabico
Derrick Coedno Cabico is a Registered Dietetic Technician in Menifee, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
30394 Lamplighter LnMenifee, CA 92584-6933
Phone: (951) 500-2104
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietetic Technician (primary) | Taxonomy 136A00000X · Licence 86254119 (CA) |
|---|---|
| Registered Dietetic Technician | Taxonomy 136A00000X |
Record details
| NPI number | 1558943597 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2021 |
| Last updated in NPPES | April 27, 2021 |
| Certification date | April 27, 2021 |
| Mailing address | 30394 Lamplighter Ln, Menifee, CA 92584-6933 |