Individual
MISS ADIA MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 W HAMMER LN, STOCKTON, CA 95219-5435
(209) 521-4791
Mailing address
3425 COFFEE RD STE C2, MODESTO, CA 95355-1582
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/19/2019
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