Individual
KARLA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
42520 MORAGA RD, TEMECULA, CA 92591-4786
(760) 725-5177
Mailing address
PO BOX 555341, CAMP PENDLETON, CA 92055-5341
(760) 725-5177
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000029049
CA
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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