Individual
ANDREA JISELLY MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 4TH AVE, CHULA VISTA, CA 91910-3802
(619) 420-3620
Mailing address
318 4TH AVE, CHULA VISTA, CA 91910-3802
(619) 420-3620
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
10/04/2018
Last updated
04/30/2026
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