Individual
MELISSA VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
955 GARRISON RIDGE BLVD, KNOXVILLE, TN 37922-5157
(865) 712-9641
Mailing address
955 GARRISON RIDGE BLVD, KNOXVILLE, TN 37922-5157
(865) 712-9641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN000073065
TN
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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