Individual
MARIA COREENA VENGCO VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AGACNP-BC
Contact information
Practice address
1001 POTRERO AVE, BLDG 1, RM 101, SAN FRANCISCO, CA 94110
(415) 206-8000
Mailing address
1001 POTRERO AVE, BLDG 1, RM 101, SAN FRANCISCO, CA 94110
(415) 206-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95009736
CA
Other
Enumeration date
08/05/2018
Last updated
03/08/2019
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