Individual
DR. DIANE E. BUNKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
JERRY L. PETTIS VAMC, 11201 BENTON STREET, LOMA LINDA, CA 92357-0001
(909) 825-7084
Mailing address
JERRY L. PETTIS VAMC, 11201 BENTON STREET, LOMA LINDA, CA 92357-0001
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14308
CA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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