Individual
DEANNA STORCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 CAMPISI WAY STE 1D, CAMPBELL, CA 95008-2351
(408) 462-0794
Mailing address
910 CAMPISI WAY STE 1D, CAMPBELL, CA 95008-2351
(408) 462-0794
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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