Individual
NOAH M NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 PERIMERTER DR, MOSCOW, ID 83844-0001
(208) 855-6111
Mailing address
1139 WEST RD, LA HABRA HEIGHTS, CA 90631-8632
(626) 222-9137
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/18/2023
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