Individual
DIANA MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10776 FREMONT ST, YUCAIPA, CA 92399-9630
(909) 797-0114
Mailing address
10776 FREMONT ST, YUCAIPA, CA 92399-9630
(909) 797-0114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
02/27/2019
Last updated
04/09/2021
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