Search › California › 390200000X
Derrick Ross
NPI 1184057440 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1205 Deanza Ct
Suisun City, CA 94585 - Phone
- (707) 428-4118
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California