Individual
MS. LAURA SUSAN VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHC
Contact information
Practice address
201 CEDAR ST SE STE 7600, ALBUQUERQUE, NM 87106
(505) 563-2500
(505) 563-2599
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PC00000342
NM
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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