Individual
GRISELDA C VELOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8201
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8201
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4313807
N/A
—
Enumeration date
07/12/2019
Last updated
07/12/2019
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