Individual
MR. JOSEPH LAWRENCE STANCO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2348 TRIDENT WAY, SAN DIEGO, CA 92155-5508
(336) 831-4209
Mailing address
2348 TRIDENT WAY, SAN DIEGO, CA 92155-5508
(336) 831-4209
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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