Individual
JACQUELINE RUBIDIA VELASQUEZ-CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
7615 ORA GLEN DR, GREENBELT, MD 20770-3642
(866) 877-7258
Mailing address
202 GROSS AVE, ANNAPOLIS, MD 21401-3215
(443) 458-3616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R246402
MD
363LF0000X
Family Nurse Practitioner
Primary
NP200006078
DC
363LF0000X
Family Nurse Practitioner
R246402
MD
Other
Enumeration date
02/01/2022
Last updated
12/30/2024
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