Individual
TIFFANY ANN MUNIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, CERTIFIED DOULA
Contact information
Practice address
410 N 7TH ST, BREESE, IL 62230-1234
(618) 581-8469
Mailing address
410 N 7TH ST, BREESE, IL 62230-1234
(618) 581-8469
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043.111999
IL
374J00000X
Doula
Primary
—
IL
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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