| NPI | 1689360059 |
|---|---|
| Other Name | STOM CHIROPRACTIC CORPORATION |
| Entity Type | Organization |
| Authorized Contact | DERRICK JACK STOM President, Secretary, Treasurer 925-956-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |