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NPI Code Detail

MEDICARE: JOSE MICHAEL MUNJOZ-FLORES

MEDICARE:   JOSE MICHAEL MUNJOZ-FLORES
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
1163WP0809XAdult Psychiatric/Mental Health Registered NurseRN00133870WA

General Provider Information

NPI Number : 1558299511
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE MICHAEL MUNJOZ-FLORES
Provider Business Mailing Address
First Line : 20027 SAGEWOOD LN SW
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-8304
Country : US
Telephone Number : 360-968-0111
Fax Number :
Provider Business Practice Location Address
First Line : 601 W FRANKLIN ST
Second Line :
City : SHELTON
State : WA
Zip : 98584-3518
Country : US
Telephone Number : 360-968-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ JOSE MICHAEL MUNJOZ-FLORES ” Practice Location

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