Provider Demographics
NPI:1881415131
Name:MUNOZ, KIMBERLY DAMARIS
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DAMARIS
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 1:2340 ROSEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-5620
Mailing Address - Country:US
Mailing Address - Phone:818-270-7051
Mailing Address - Fax:
Practice Address - Street 1:2340 ROSEWOOD AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-5620
Practice Address - Country:US
Practice Address - Phone:818-270-7051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula