Individual
AMANDA MARIE VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
328 S STILLAGUAMISH AVE, ARLINGTON, WA 98223-1660
(360) 435-6097
(360) 435-1871
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61450533
WA
Other
Enumeration date
03/01/2023
Last updated
07/07/2023
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