Individual
MRS. BRENDA LOUISE MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
513 W PRESCOTT AVE, CLOVIS, CA 93619-0423
(559) 325-9530
Mailing address
513WEST PRESCOTT AVE, CLOVIS, CA 93919
(559) 325-9530
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 2804
CA
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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