Individual
GERARDO MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
755 SEQUOIA AVE STE B, LINDSAY, CA 93247-1422
(559) 562-9399
(559) 562-4248
Mailing address
755 SEQUOIA AVE STE B, LINDSAY, CA 93247-1422
(559) 562-9399
(559) 562-4248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA18139
LICENSE
CA
Enumeration date
09/02/2006
Last updated
03/27/2014
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