| NPI | 1366722142 |
|---|---|
| Doing Business As | STANFORD RANCH CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DEE PETERSEN President 916-625-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 21088) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |