Individual
MR. SHAWN STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3956 TEXAS ST UNIT 15, SAN DIEGO, CA 92104-6439
(619) 888-2111
Mailing address
3956 TEXAS ST UNIT 15, SAN DIEGO, CA 92104-6439
(619) 888-2111
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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