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Individual
MRS. SHALISE RANAE MUNOZ
Active
Individual
MRS. SHALISE RANAE MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
560836
CA
363LF0000X
Family Nurse Practitioner
Primary
15075
CA
Other
Enumeration date
10/03/2006
Last updated
02/19/2021
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