Individual
MRS. SHIMI VELASQUEZ INCIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDM, CFPP
Contact information
Practice address
850 GOV. CARLOS CAMACHO RD., TAMUNING, GU 96913, TAMUNING, GU 96931
(671) 647-2330
Mailing address
160 N MARIPOSA CT, DEDEDO, GU 96929-5809
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-048
GU
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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