Individual
MARTHA CLEMENTINA VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2187 S MILITARY TRL, WEST PALM BEACH, FL 33415-6453
(561) 641-6865
Mailing address
3708 LAURETTE LN, LAKE WORTH, FL 33461-3449
(561) 568-3772
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT91036
FL
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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