Individual
SANDRA MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
(907) 377-6526
Mailing address
2685 BALD EAGLE CT, NORTH POLE, AK 99705-7893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
140504
AK
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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