Individual
JOHN ANTHONY STUNJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD, CDE
Contact information
Practice address
BUILDING 166 INNER LOOP ROAD, WEED ARMY COMMUNITY HOSPITAL, FORT IRWIN, CA 92310
(760) 380-5565
Mailing address
8705 ANZIO ST # A, FORT IRWIN, CA 92310-2405
(760) 386-0835
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05475
TX
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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