Provider Demographics
NPI:1174122261
Name:STOKES, NADZEYA (DC)
Entity type:Individual
Prefix:
First Name:NADZEYA
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:NADZEYA
Other - Middle Name:
Other - Last Name:TAUPEKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:CA
Mailing Address - Zip Code:95017-0100
Mailing Address - Country:US
Mailing Address - Phone:916-266-3381
Mailing Address - Fax:
Practice Address - Street 1:700 RIVER ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-2748
Practice Address - Country:US
Practice Address - Phone:831-216-5603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34744111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor