Individual
NAOMI VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HS
Contact information
Practice address
411 PENNSYLVANIA AVE # B, PETALUMA, CA 94952-9103
(707) 769-9818
Mailing address
411 PENNSYLVANIA AVE # B, PETALUMA, CA 94952-9103
(707) 769-9818
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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