KADEJA DERRICK
Licensed Vocational Nurse
Active
Individual
NPI: 1588140149
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | Yes | 303722 (TX) |
Frequently Asked Questions
NPI 1588140149 is the National Provider Identifier for KADEJA DERRICK, a Licensed Vocational Nurse provider located in Tyler, TX. This NPI was enumerated on July 17, 2018.
KADEJA DERRICK practices at 9846 HWY 31 E, Tyler, TX 75705.
Quick Facts
- NPI
- 1588140149
- Type
- Individual
- Enumerated
- Jul 17, 2018
- Last Updated
- Jul 17, 2018
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