Individual
MISS GRACIELA E VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NORTHWEST AVE, TALLMADGE, OH 44278-1810
(330) 633-3466
Mailing address
100 NORTHWEST AVE, TALLMADGE, OH 44278-1810
(330) 633-3466
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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