| NPI | 1427302355 |
|---|---|
| Doing Business As | STANFORD RANCH CHRIOPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DEE PETERSEN Vice President 916-624-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 21088) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |