Individual
RYAN VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
15575 JOLIET CT, FONTANA, CA 92336-3198
(909) 525-8183
Mailing address
15575 JOLIET CT, FONTANA, CA 92336-3198
(909) 525-8183
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
38772
CA
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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