Individual
PRINCESS VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 PALM DR, LANCASTER, TX 75146-1942
(214) 395-6005
(817) 393-4934
Mailing address
160 PALM DR, LANCASTER, TX 75146-1942
(214) 395-6005
(817) 393-4934
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28856836
—
TX
Enumeration date
01/22/2018
Last updated
01/22/2018
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