Individual
MELISSA VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 SW PEACOCK BLVD APT 3-205, PORT ST LUCIE, FL 34986-3467
(646) 331-3599
Mailing address
104 SW PEACOCK BLVD APT 3-205, PORT ST LUCIE, FL 34986-3467
(646) 331-3599
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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