Individual
CHARITY VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 622-1420
Mailing address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 353-6667
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
06/02/2025
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