Individual
CARLOS VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 I O O F AVE, GILROY, CA 95020-5204
(408) 628-3195
Mailing address
4365 KINGSPARK DR, SAN JOSE, CA 95136-2321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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