Individual
STACEY ANNE DERSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
657 PLEASANT ST, BOX #5, FALL RIVER, MA 02721-4323
(508) 677-2554
(508) 677-2553
Mailing address
113 BRALEY HILL RD, ROCHESTER, MA 02770-1917
(508) 725-8307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001788
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2008
Last updated
11/20/2013
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