Individual
MRS. MARIBEL VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S HALE AVE, ESCONDIDO, CA 92029-2174
(858) 729-8295
Mailing address
341 AVENUE 11, LAKE ELSINORE, CA 92530-4443
(951) 970-0147
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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