Individual
DIANNE MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
855 THIRD AVE #3340, CHULA VISTA, CA 91911-1911
(619) 427-1300
Mailing address
7556 GOODE ST, SAN DIEGO, CA 92139-1337
(619) 274-2313
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95007838
CA
Other
Enumeration date
01/04/2018
Last updated
11/27/2018
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