Individual
JEMILYN VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N FLOWER ST, SANTA ANA, CA 92703-2361
(714) 647-4148
Mailing address
1160 STARBRIGHT DR, CORONA, CA 92882-8338
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
58764
CA
Other
Enumeration date
03/14/2014
Last updated
03/15/2014
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