Individual
JOSE M VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1216 DUNBAR OAKS DR, CAPITOL HEIGHTS, MD 20743-6626
(202) 560-8362
Mailing address
1216 DUNBAR OAK DR, CAPITOL HEIGHTS, MD 20743
(202) 560-8362
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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