Individual
STEFANIE ALEXIS VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13767 CARPENTER RD, CROWS LANDING, CA 95313-9641
(209) 765-3962
Mailing address
13767 CARPENTER RD, CROWS LANDING, CA 95313-9641
(209) 765-3962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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