IndividualActive
Stan Elijah, MT
NPI 1821329418 · Reflexologist · Stockton, CA
Provider details
- NPI number
- 1821329418
- Entity type
- Individual
- Primary specialty
- ReflexologistOther Service Providers
- Credential
- MT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 201438 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
4565 Quail Lakes Dr Ste A1
Stockton, CA 95207-5294
Phone: (209) 888-8602
Fax: (209) 888-8603
Approximate (ZIP-level) locationGet directions
Mailing address
4565 Quail Lakes Dr Ste A1
Stockton, CA 95207-5294
Registry dates
- Enumerated
- 2010-01-20
- Last updated
- 2010-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.