Organization
STOCKTONIANS TAKING ACTION TO NEUTRALIZE DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED J SHEIL (ADMINISTRATOR)
(209) 937-7625
Entity
Organization
Contact information
Practice address
1209 E 8TH ST, STOCKTON, CA 95206-2208
(209) 937-7625
(209) 939-9347
Mailing address
1209 E 8TH ST, STOCKTON, CA 95206-2208
(209) 937-7625
(209) 939-9347
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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