Individual
IAN OLAZO VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8228
Mailing address
577 MCINTOSH ST APT 6, CHULA VISTA, CA 91910-1534
(808) 381-3604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95105226
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95105226
CA
Other
Enumeration date
03/20/2019
Last updated
04/19/2019
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