Individual
CASSANDRA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4417
Mailing address
1740 CARLISLE RD, THE VILLAGE, OK 73120-1117
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39637
OK
Other
Enumeration date
06/30/2021
Last updated
05/24/2022
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