Individual
NATHANIEL JOSEPH MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
216 E ORMAN AVE, PUEBLO, CO 81004-2193
(719) 549-7702
Mailing address
4009 ONEAL AVE APT 3, PUEBLO, CO 81005-2785
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001696
CO
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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