Individual
MS. JOANNE VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
711 S MAIN, WICHITA, KS 67213
(316) 204-9005
(316) 263-3817
Mailing address
711 S MAIN, WICHITA, KS 67213
(316) 204-9005
(316) 263-3817
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A087136
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200624480A
—
KS
05
—
200624480B
—
KS
Enumeration date
11/24/2009
Last updated
04/06/2010
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