Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1629266192 |
---|---|
Provider Name | Aurelio R Munoz JR. |
First Address | Redlands, CA 92373-8051 |
Second Address | Redlands, CA 92373-8051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2007 |
Last Update Date | 10/10/2007 |