Individual
MS. VANESSA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 ROAD 20, SAN PABLO, CA 94806-3556
(510) 467-6917
Mailing address
2029 ROAD 20, SAN PABLO, CA 94806-3556
(510) 467-6917
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
374A0650X
CA
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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