Individual
JORGE ADRIAN MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1640 W 8TH ST LOT 1640W8TH, YUMA, AZ 85364-2833
(480) 287-4135
Mailing address
1640 W 8TH ST LOT 97, YUMA, AZ 85364-2893
(480) 287-4135
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
22-412
WI
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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