Individual
MARISA MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
5584 QUARTERPATH GATE, VIRGINIA BEACH, VA 23455-6717
(757) 748-4258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006796
VA
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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