Individual
REGINA M VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11172 CLERMONT CIR, THORNTON, CO 80233-5416
(303) 451-5045
Mailing address
11172 CLERMONT CIR, THORNTON, CO 80233-5416
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
42119
CO
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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