Individual
CARLOS VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17212 N ROSA DR, MARICOPA, AZ 85138-1835
(309) 299-0118
Mailing address
17212 N ROSA DR, MARICOPA, AZ 85138-1835
(309) 299-0118
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041368600
IL
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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