Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | P08215 | CA |
NPI | 1508192717 |
---|---|
Provider Name | Nancy J Stockton |
First Address | Stockton, CA 95209-2037 |
Second Address | Stockton, CA 95209-1815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2009 |
Last Update Date | 22/10/2009 |