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Individual

MR. MELVIN MASIM VELASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
Mailing address
4230 HARDING PIKE STE 435, NASHVILLE, TN 37205-4900
(615) 385-3704

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN118353
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
11251
TN
367500000X
Certified Registered Nurse Anesthetist
810498
MS

Other

Enumeration date
02/03/2006
Last updated
04/14/2024
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