Individual
HANNAH MARIE MIRASOL MUNIZ CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
47474 WASHINGTON ST, LA QUINTA, CA 92253-8846
(760) 469-5213
Mailing address
47474 WASHINGTON ST, LA QUINTA, CA 92253-8846
(760) 469-5213
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A186124
CA
207W00000X
Ophthalmology Physician
ME149163
FL
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
A186124
CA
207WX0120X
Cornea and External Diseases Specialist Physician
T5401
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2017
Last updated
05/16/2023
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