Individual
ALMA EVELIA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
4000 LA RICA AVE STE D, BALDWIN PARK, CA 91706-3163
(626) 430-9171
Mailing address
3755 LA MADERA AVE, EL MONTE, CA 91732-2321
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA56826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA5686
—
CA
Enumeration date
07/11/2019
Last updated
07/11/2019
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