Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 84539 | CA |
NPI | 1003587320 |
---|---|
Provider Name | Veronica Munoz |
First Address | Laguna Hills, CA 92653 |
Second Address | Laguna Hills, CA 92653 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2021 |
Last Update Date | 27/09/2021 |