Individual
HEIDY VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4891 E KINGS CANYON RD, FRESNO, CA 93727-3811
(559) 255-8395
(559) 255-1656
Mailing address
4879 E KINGS CANYON RD, FRESNO, CA 93727-3811
(559) 527-9678
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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