Individual
TOWNSEND MUNOZ-MOCTEZUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2813 S MAIN ST, CORONA, CA 92882-5942
(951) 737-2962
Mailing address
2085 RUSTIN AVE STE 1, RIVERSIDE, CA 92507-2498
(951) 955-7320
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-SMRXFQ
CA
Other
Enumeration date
03/12/2024
Last updated
06/07/2024
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