Individual
MISS LISSETTE VELOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
(561) 712-8070
Mailing address
1710 MANGO CIR, WEST PALM BEACH, FL 33406-5259
(561) 906-3505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
V420-520-75-666-0
FL
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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