Individual
MR. CHAD ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8686
Mailing address
530 N STANISLAUS ST, 11, STOCKTON, CA 95202-2256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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