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Individual

MS. MARY LOUSIE VELASQUEZ

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817
(916) 734-5538
Mailing address
961 S. SULLIVAN AVE., STOCKTON, CA 95205
(209) 518-1759

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NPF15176
CA

Other

Enumeration date
11/23/2005
Last updated
07/08/2007
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