Individual
MICHELLE ANTIONETTE VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1207 N 40TH AVE, YAKIMA, WA 98908-9456
(509) 457-1628
(866) 257-1398
Mailing address
1207 N 40TH AVE, YAKIMA, WA 98908-9456
(509) 457-1628
(866) 257-1398
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA60051072
WA
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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