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Individual

VELIA VELASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
365 N MAIN STREET, ABERDEEN, ID 83210-0204
(208) 220-5044
Mailing address
365 N MAIN STREET, ABERDEEN, ID 83210-0204
(208) 220-5044

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
11/04/2015
Last updated
11/04/2015
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