Individual
MR. BRIAN ERNEST VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
761 RICE RD APT 920, RIDGELAND, MS 39157-1092
(304) 844-1867
Mailing address
761 RICE RD APT 920, RIDGELAND, MS 39157-1092
(304) 844-1867
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2860
MS
225700000X
Massage Therapist
5849
AL
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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