Individual
SUSAN VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-2754
Mailing address
25042 PENNSYLVANIA AVE, LOMITA, CA 90717-2020
(310) 503-5741
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
RN 721315
CA
Other
Enumeration date
12/13/2012
Last updated
08/25/2016
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