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Individual

WANDA VELEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11769 SW 129TH PL, TIGARD, OR 97223-1871
(201) 406-8659
Mailing address
11769 SW 129TH PL, TIGARD, OR 97223-1871
(201) 406-8659

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
104699
OR

Other

Enumeration date
10/25/2021
Last updated
10/25/2021
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