Individual
IRENE AVELAR-VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 JOANN ST, COSTA MESA, CA 92626-1146
(652) 282-3991
Mailing address
116 E 21ST APT D, COSTA MESA, CA 92627
(562) 282-3991
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
02/20/2023
Last updated
06/26/2023
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