Individual
VANESSA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13886 ROAD 33, MANCOS, CO 81328-9177
(970) 882-7008
(970) 882-4268
Mailing address
13886 ROAD 33, MANCOS, CO 81328-9177
(970) 882-7008
(970) 882-4268
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
04H512
CO
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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