Individual
AURORA VELEZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10759 W WASHINGTON ST, AVONDALE, AZ 85323-3330
(623) 872-1855
Mailing address
10759 W WASHINGTON ST, AVONDALE, AZ 85323-3330
(623) 872-1855
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
743223
AZ
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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