Individual
MRS. DONNA LYNN MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(909) 864-1097
Mailing address
2760 PLACENTIA ST, SAN JACINTO, CA 92582-3779
(951) 654-3727
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
CA
363LF0000X
Family Nurse Practitioner
Primary
8067
CA
Other
Enumeration date
01/04/2010
Last updated
06/01/2015
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