Individual
MR. LUIS ANTONIO VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 635-4000
Mailing address
24730 RED HILL CT, HOLLYWOOD, MD 20636-4848
(617) 699-7920
(617) 699-7920
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R225819
MD
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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