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Individual

BERENISE VELAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1830 S CENTRAL ST, VISALIA, CA 93277-4418
(559) 707-1735
Mailing address
1830 S CENTRAL ST, VISALIA, CA 93277-4418
(559) 730-2969
(559) 730-2991

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/07/2016
Last updated
02/21/2017
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