Individual
MS. JELENE M VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6301 MEMORIAL HWY, STE 304, TAMPA, FL 33615-4573
(813) 374-9923
(813) 374-9922
Mailing address
2822 SOMERSET PARK DR, UNIT #203, TAMPA, FL 33613-3244
(813) 431-6095
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MA#54379
FL
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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