Individual
MS. NICOLE AMBER MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1116 NORTH EAST 11TH STREET DRIVE, HILLSBORO, OR 97124
(503) 268-3286
Mailing address
1116 NE 11TH STREET DR, HILLSBORO, OR 97124-3347
(503) 268-3286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16172
OR
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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