Individual
GRETCHEN YAZMINE VELAZQUEZ
Active
Individual
GRETCHEN YAZMINE VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2003-00101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1212660010
DME
—
05
—
89137K8
—
NC
01
—
P00154395
RR MEDICARE
NC
Enumeration date
06/26/2006
Last updated
05/11/2017
Update your record
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