Provider Demographics
NPI:1609281898
Name:ZUNIGA, ANGELICA S
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:S
Last Name:ZUNIGA
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 1:6130 VINCENT DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-4729
Mailing Address - Country:US
Mailing Address - Phone:361-877-7111
Mailing Address - Fax:361-462-4688
Practice Address - Street 1:6130 VINCENT DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4729
Practice Address - Country:US
Practice Address - Phone:361-877-7111
Practice Address - Fax:361-462-4688
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services