Individual
MR. JOSHUA ADOLFO VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
CA
374700000X
Technician
—
CA
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
Update your record
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