Individual
MISS SUSAN ANN VELARDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12000 STONE LAKE DRIVE, DULCE, NM 87528
(505) 759-7246
Mailing address
PO BOX 804, DULCE, NM 87528-0804
(505) 759-7246
Taxonomy
Speciality
Code
Description
License number
State
246ZI1000X
Medical Illustrator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
01
—
HSZ196
MEDICARE PART B
NM
Enumeration date
02/13/2007
Last updated
06/02/2008
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