Individual
ANDREA LESA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1405 CALIFORNIA AVE, DOS PALOS, CA 93620-2300
(209) 392-2111
(209) 392-2850
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN623045
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95003962
CA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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