Individual
MRS. JENNIFER MUNSAYAC VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 MISSION ST UNIT C5, SOUTH PASADENA, CA 91030-3287
(714) 767-6623
Mailing address
1401 MISSION ST UNIT C5, SOUTH PASADENA, CA 91030-3287
(714) 767-6623
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
95026633
CA
207Q00000X
Family Medicine Physician
95026633
CA
208000000X
Pediatrics Physician
95026633
CA
Other
Enumeration date
06/28/2023
Last updated
07/02/2024
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