Individual
SIMON S MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9150 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5201
(505) 348-3922
Mailing address
5800 NIGHT ROSE AVE NW, ALBUQUERQUE, NM 87114-3591
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2912
NM
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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