Individual
ELIJIA VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1911 WILLIAMS DR STE 152, OXNARD, CA 93036-2612
(866) 998-2243
Mailing address
202 CAMARILLO ST, CAMARILLO, CA 93012-8028
(805) 533-0974
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
248263
CA
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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