Individual
FERNANDO VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2300
Mailing address
1844 N LINCOLN PARK W, CHICAGO, IL 60614-5308
(312) 622-4919
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95011254
CA
Other
Enumeration date
10/21/2016
Last updated
12/08/2021
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