Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STAN ELIJAH, MT
Active Sole ProprietorMR. STAN ELIJAH, MT is a Reflexologist healthcare provider located in STOCKTON, California. NPI 1821329418 is currently active in the NPPES registry. Verify at CMS.
Reflexologist · STOCKTON, CA
Registration Details
- NPI Number
- 1821329418
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2010 (16.537644661244 yrs)
- Last Updated
- Jan 20, 2010
- License
-
201438 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4565 QUAIL LAKES DR STE A1STOCKTON, CA, 952075294Browse CA providers · Browse ZIP 95207
- Phone
- 2098888602
- Fax
- 2098888603
- Primary Specialty
-
Reflexologist
173C00000X
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.