Individual
ANGELICA M MUJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
423 N MCLEAN BLVD, WICHITA, KS 67203-5964
(316) 618-1252
(316) 869-2277
Mailing address
423 N MCLEAN BLVD, WICHITA, KS 67203-5964
(316) 618-1252
(316) 869-2277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5391
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SI3993
DOH LICENSE
FL
Enumeration date
06/03/2019
Last updated
03/01/2024
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