JOSEPH LAWRENCE STANCO

SAN DIEGO, CA
NPI1225479686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-07-15
Last Update Date2013-07-15
Business Address
Mr. JOSEPH LAWRENCE STANCO IDC
2348 TRIDENT WAY
SAN DIEGO, CA 92155-5508
Phone number: 336-831-4209
Mailing Address
Mr. JOSEPH LAWRENCE STANCO IDC
2348 TRIDENT WAY
SAN DIEGO, CA 92155-5508
Phone number: 336-831-4209