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Individual

VERENICE J VELAZQUEZ

Active
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Individual

VERENICE J VELAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-BC

Taxonomy

Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
041.379684
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209.012030
IL

Other

Enumeration date
10/20/2014
Last updated
10/20/2014
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