Provider Demographics
NPI:1629582069
Name:MUNOZ, VICTORIA (NMD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 W BASELINE RD STE 102-110
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-6031
Mailing Address - Country:US
Mailing Address - Phone:480-239-1193
Mailing Address - Fax:844-426-4566
Practice Address - Street 1:1126 S GILBERT RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-5206
Practice Address - Country:US
Practice Address - Phone:480-239-1193
Practice Address - Fax:844-426-4566
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-21
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ17-1679175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath