Individual
MS. EVELYN VELASCO DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3944 FLORIDA BLVD, PALM BEACH GARDENS, FL 33410-2271
(561) 308-6639
Mailing address
4641 WADITA KA WAY, WEST PALM BEACH, FL 33417-8016
(561) 308-6639
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA42083
FL
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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