Derek Tryial

NPI 1922740158 · on the registry since 2022 · sole proprietor

Practice

Address: 9245 Laguna Springs Dr Ste 213
Elk Grove, CA 95758
Phone: (916) 529-2359
Organisation at this address: Php
Airam5
Care Ride
Hach Works
Skm Agency
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 343900000X
343900000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-04-08

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