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Individual

MARY TIFFANY T MUNOZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 FRANKLIN ST, SAN FRANCISCO, CA 94109-4523
(415) 474-7310
Mailing address
6630 MISSION ST APT B, DALY CITY, CA 94014-2028
(661) 370-5658

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01113
MEDICAID
CA
Enumeration date
08/03/2021
Last updated
05/08/2025
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