| NPI | 1689297806 |
|---|---|
| Professional Name | JACKIE MUNOZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1098019) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 7468) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2023-03-28 |