Individual
MIRIAM MARITZA MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12349 LAKESHORE DR APT 4, LAKESIDE, CA 92040-3048
(619) 618-6115
Mailing address
12349 LAKESHORE DR APT 4, LAKESIDE, CA 92040-3048
(619) 618-6115
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
12/09/2019
Last updated
11/07/2023
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