Individual
JESSE VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
(323) 232-2366
Mailing address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
(323) 232-2366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
69350
CA
Other
Enumeration date
07/10/2015
Last updated
11/05/2015
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