Individual
JERRY D SANFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1404 W PARK AVE, ORANGE, TX 77630-4951
(409) 882-9061
(409) 882-0084
Mailing address
1404 W PARK AVE, ORANGE, TX 77630-4951
(409) 882-9061
(409) 882-0084
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7054
TX
Other
Enumeration date
09/07/2005
Last updated
07/08/2007
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