Individual
MRS. JULIA SHOOK MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
491 TOLL HOUSE LN, FAIRFIELD, CT 06825-1032
(203) 361-8855
Mailing address
491 TOLL HOUSE LN, FAIRFIELD, CT 06825-1032
(203) 361-8855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86017601
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02658
MEDICARE YNHH MEDICARE NUMBER
CT
Enumeration date
10/10/2016
Last updated
08/15/2023
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