SearchCalifornia103K00000X

Derriea Mcglothern

NPI 1659861185 · on the registry since 2018

Practice

Address
23126 Rider St
Perris, CA 92570
Phone
(909) 239-3957

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
225500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-02

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