Individual
FERNANDO ANGEL VELAZQUEZ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 FLOWERDALE LN, SAN DIEGO, CA 92114-7332
(619) 340-9853
Mailing address
12122 GAY RIO TER, LAKESIDE, CA 92040-4915
(619) 340-9853
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/04/2024
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