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NPI Code Detail

MEDICARE: SELENA MUNOZ GONZALEZ PPS

MEDICARE: SELENA MUNOZ GONZALEZ PPS
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
1101YS0200XSchool Counselor

General Provider Information

NPI Number : 1134004278
Entity Type Code : Individual
Provider Name (Legal Business Name) : SELENA MUNOZ GONZALEZ PPS
Provider Business Mailing Address
First Line : 1111 VAN NESS AVE
Second Line :
City : FRESNO
State : CA
Zip : 93721-2002
Country : US
Telephone Number : 559-265-3000
Fax Number :
Provider Business Practice Location Address
First Line : 1905 7TH ST
Second Line :
City : SANGER
State : CA
Zip : 93657-2897
Country : US
Telephone Number : 559-524-6521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2025
Last Update Date : 08/07/2025

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Directions to “ SELENA MUNOZ GONZALEZ PPS” Practice Location

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