Individual
BIANCA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
389 FREEDOM LN, BATTLE CREEK, MI 49037-8543
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
080316
PR
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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