Individual
MYRNA D VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 STEVENS ST STE I, NORWALK, CT 06850-3859
(203) 852-3073
Mailing address
1445 CAPITOL AVE, BRIDGEPORT, CT 06604-1619
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
84831
CT
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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