Individual
ADRIENNE VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2719 E MIRANDA ST, WEST COVINA, CA 91792-2222
(626) 384-9373
Mailing address
2719 E MIRANDA ST, WEST COVINA, CA 91792-2222
(626) 384-9373
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86053923
CA
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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