Individual
MR. FERNANDO VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5805 CHARLOTTE DR # A-323, SAN JOSE, CA 95123-3619
(408) 603-5301
Mailing address
5805 CHARLOTTE DR # A-323, SAN JOSE, CA 95123-3619
(408) 603-5301
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
2472R0900X
Renal Dialysis Technician
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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