Individual
DR. BONNIE VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, MS
Contact information
Practice address
24 HARRISON ST, BELLEVILLE, NJ 07109-4219
(973) 759-2225
(973) 759-5061
Mailing address
24 HARRISON ST, BELLEVILLE, NJ 07109-4219
(973) 759-2225
(973) 759-5061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00555600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8555001
—
NJ
Enumeration date
01/08/2007
Last updated
07/08/2007
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