Susan Derby
Susan Derby is a Student in an Organized Health Care Education/Training Program in Venice, California. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
204 Hampton DrVenice, CA 90291-2623
Phone: (310) 396-6468
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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 | 1689120545 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 31, 2016 |
| Last updated in NPPES | March 27, 2017 |
| Mailing address | 204 Hampton Dr, Venice, CA 90291-2623 |
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