Cabico, Derrick Coedno
Cabico, Derrick Coedno is an sole proprietor health care provider with primary practice located at 30394 Lamplighter Ln , Menifee CA 92584-6933. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietetic Technician, Registered, which is considered as his primary health care specialty. Cabico, Derrick Coedno can be contacted via phone (951) 500-2104.Contact Information
Primary practice address
30394 Lamplighter Ln
Menifee CA 92584-6933
Phone: (951) 500-2104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietetic Technician, Registered | 136A00000X | ||
| Dietary & Nutritional Service Providers / Dietetic Technician, Registered | 136A00000X | 86254119 | California |
Profile Details
| NPI number | 1558943597 |
|---|---|
| LBN Legal business name | Cabico, Derrick Coedno |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2021 |
| Last updated | Apr 27th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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