Individual
MR. JUAN MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
8857 1ST ST, SUITE 400, NORFOLK, VA 23511-3713
(757) 445-6103
Mailing address
8857 1ST ST, SUITE 400, NORFOLK, VA 23511-3713
(757) 445-6103
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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