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NPI Code Detail

MEDICARE: KATHERINE MUNOZ-CANO

MEDICARE:   KATHERINE  MUNOZ-CANO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417671033
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MUNOZ-CANO
Provider Business Mailing Address
First Line : 3045 GROVE WAY
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-6703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3045 GROVE WAY
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-6703
Country : US
Telephone Number : 510-695-0996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2022
Last Update Date : 09/27/2022

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Directions to “ KATHERINE MUNOZ-CANO ” Practice Location

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