Individual
PATRICK MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
US NAVY IDC
Contact information
Practice address
34101 FARENHOLT AVENUE, BUILDING 14, SAN DIEGO, CA 92134
(619) 532-7968
Mailing address
10638 OUTPOST DR., CORPUS CHRISTI, TX 78410
(757) 469-1705
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
—
CA
247200000X
Other Technician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
US NAVY
US NAVY, SURFACE WARFARE MEDICAL INSTITUTE
CA
Enumeration date
08/24/2015
Last updated
08/24/2015
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