Individual
ANA G MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 N 9TH ST, FORT DODGE, IA 50501-3911
(515) 293-5620
Mailing address
1307 1ST AVE N, FORT DODGE, IA 50501-4203
(972) 901-0281
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-220083
TX
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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