Individual
DR. SUSAN MARIE STANKORB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 221-6305
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-5318
(253) 968-1773
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07554
TX
Other
Enumeration date
12/14/2005
Last updated
05/07/2024
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