Provider Demographics
NPI:1346312691
Name:MUNOZ-MCWILLIAMS, SHIRLEY SOFIA (LAC)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:SOFIA
Last Name:MUNOZ-MCWILLIAMS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:31021 BLUE HERON WAY
Mailing Address - Street 2:
Mailing Address - City:COARSEGOLD
Mailing Address - State:CA
Mailing Address - Zip Code:93614-9660
Mailing Address - Country:US
Mailing Address - Phone:559-641-7866
Mailing Address - Fax:559-641-7866
Practice Address - Street 1:1930 HOWARD RD
Practice Address - Street 2:SUITE 112B
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5154
Practice Address - Country:US
Practice Address - Phone:559-975-5565
Practice Address - Fax:559-641-7866
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA7530171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist