Individual
RAY VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.C.N.P.
Contact information
Practice address
399 E HIGHLAND AVE, SUITE 307, SAN BERNARDINO, CA 92404-3808
(909) 881-7400
(909) 881-7404
Mailing address
399 E HIGHLAND AVE, SUITE 307, SAN BERNARDINO, CA 92404-3808
(909) 881-7400
(909) 881-7404
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
CA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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