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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELVIN CLARENCE AQUILIZAN DERRADA

Active Sole Proprietor

KELVIN CLARENCE AQUILIZAN DERRADA is a Licensed Vocational Nurse healthcare provider located in LATHROP, California. NPI 1295242899 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · LATHROP, CA

Registration Details

NPI Number
1295242899
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2018 (8.6076369716172 yrs)
Last Updated
Jan 4, 2018
License
280438 (CA)
Sole Proprietor
Yes

Practice Information

Address
13405 BROOKWOOD WAY
LATHROP, CA, 953308920
Browse CA providers · Browse ZIP 95330
Phone
2099829368
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in LATHROP, CA

Name Credential NPI
ANA MARIA YERENA 1710102082
CRISLOREN BARBA-MENDOZA 1619449360
ERIC KAMAU LVN 1518645993
ARMANDO RUIZ 1194572677
TIRUWORK ABEBE GUANGUL 1487486437
KATIE LEA BENTZ 1891507133
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.