Individual
LUIS VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
(703) 922-1290
(703) 922-1280
Mailing address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
(703) 922-1290
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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