Provider Demographics
NPI:1245424241
Name:MUNOZ, LINDA C (RCP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8978 BAINBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95209-4807
Mailing Address - Country:US
Mailing Address - Phone:209-474-6848
Mailing Address - Fax:
Practice Address - Street 1:8978 BAINBRIDGE PL
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95209-4807
Practice Address - Country:US
Practice Address - Phone:209-474-6848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-02
Last Update Date:2007-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26380227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified