Individual
COLEEN MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
2813 KINGS PARK LN, MODESTO, CA 95355-8681
(209) 499-4492
Mailing address
2813 KINGS PARK LN, MODESTO, CA 95355-8681
(209) 499-4492
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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