Provider Demographics
NPI:1487225439
Name:MUNOZ, DELIA
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 778413
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89077-8413
Mailing Address - Country:US
Mailing Address - Phone:702-357-8811
Mailing Address - Fax:702-947-5352
Practice Address - Street 1:4456 PROSPECT HILL CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-3294
Practice Address - Country:US
Practice Address - Phone:702-626-0373
Practice Address - Fax:702-947-5352
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider