Individual
DIANE LYNN STANKEVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, CSCS, EMT
Contact information
Practice address
1301 AVENIDA CESAR CHAVEZ, MONTEREY PARK, CA 91754-6001
(323) 265-8611
(323) 265-8909
Mailing address
1818 SAN DIEGO ST, WEST COVINA, CA 91790-2067
(626) 833-5763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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