MEDICARE: DR. TRICIA ELIZABETH MUNESES D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	01902	MD

General Provider Information

NPI Number	:	1083737944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRICIA ELIZABETH MUNESES D.C.

Provider Business Mailing Address
First Line	:	7389 BALTIMORE ANNAPOLIS BLVD
Second Line	:	STE L
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-3228
Country	:	US
Telephone Number	:	410-355-7725
Fax Number	:	410-355-4084

Provider Business Practice Location Address
First Line	:	3721 POTEE ST
Second Line	:	SUITE 1
City	:	BALTIMORE
State	:	MD
Zip	:	21225-1717
Country	:	US
Telephone Number	:	410-355-7725
Fax Number	:	410-355-4084

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2007
Last Update Date	:	01/05/2018

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