Individual
DR. DERRICK JACK STOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7001 SUNNE LN # 112, WALNUT CREEK, CA 94597-3622
(925) 956-8333
Mailing address
2125 YOUNGS CT, WALNUT CREEK, CA 94596-6319
(925) 956-8333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC36252
CA
Other
Enumeration date
02/03/2022
Last updated
04/17/2023
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