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Individual

HOWARD VELASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6 CALLE MEDICO, SANTA FE, NM 87505-4761
(505) 273-4668
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199-4508
(505) 273-6684

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/15/2021
Last updated
11/15/2021
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