Individual
JIM MUNENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DIRECTOR
Contact information
Practice address
425 BERNINI AVE, SIERRA VISTA, AZ 85635-2369
(520) 820-5073
Mailing address
425 BERNINI AVE, SIERRA VISTA, AZ 85635-2369
(520) 820-5073
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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