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NPI Code Detail

MEDICARE: MS. MARIE DOROTHY MUNOZ LVN

MEDICARE: MS. MARIE DOROTHY MUNOZ LVN
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
1164X00000XLicensed Vocational Nurse218289CA

General Provider Information

NPI Number : 1336317718
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIE DOROTHY MUNOZ LVN
Provider Business Mailing Address
First Line : 1011 CAMINO DEL RIO S
Second Line : SUITE 340
City : SAN DIEGO
State : CA
Zip : 92108-3531
Country : US
Telephone Number : 619-278-0016
Fax Number : 877-777-3597
Provider Business Practice Location Address
First Line : 1011 CAMINO DEL RIO S
Second Line : SUITE 340
City : SAN DIEGO
State : CA
Zip : 92108-3531
Country : US
Telephone Number : 619-278-0016
Fax Number : 877-777-3597
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2008
Last Update Date : 02/19/2008

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