Viktoriya A Derjabin Valid NPI
Individual provider · Physician Assistant · San Bernardino, CA
- NPI
- 1811744634
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-04-30
- Last updated
- 2024-09-23
Practice location
401 E Highland Ave Ste 351
San Bernardino, CA 92404-3830
(909) 475-8611