| Kelvin Clarence Aquilizan Derrada, | |
|
13405 Brookwood Way, Lathrop, CA 95330-8920 | |
| (209) 982-9368 | |
| Not Available |
| Full Name | Kelvin Clarence Aquilizan Derrada |
|---|---|
| Gender | Male |
| Speciality | Licensed Vocational Nurse |
| Location | 13405 Brookwood Way, Lathrop, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295242899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 280438 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelvin Clarence Aquilizan Derrada, 13405 Brookwood Way, Lathrop, CA 95330-8920 Ph: (209) 982-9368 | Kelvin Clarence Aquilizan Derrada, 13405 Brookwood Way, Lathrop, CA 95330-8920 Ph: (209) 982-9368 |
Armando Ruiz, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 688 Jonquil Dr, Lathrop, CA 95330 Phone: 209-345-4942 | |
Mansimran Kaur, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 17837 Isabella Pl, Lathrop, CA 95330 Phone: 209-483-0240 | |
Eric Kamau, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 16945 Rail Way, Lathrop, CA 95330 Phone: 925-216-2580 Fax: 209-390-8300 | |
Crisloren Barba-mendoza, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 166 Camelback St, Lathrop, CA 95330 Phone: 209-346-0416 | |
Ana Maria Yerena, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 404 Thomsen Rd, Lathrop, CA 95330 Phone: 209-858-0081 |