Individual
KEI JULIA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
855 SEQUOIA CIR, FORT BRAGG, CA 95437-5466
(707) 964-1251
(707) 961-2722
Mailing address
205 SOUTH ST, FORT BRAGG, CA 95437-5540
(707) 964-1251
(707) 961-2722
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1448
CA
363L00000X
Nurse Practitioner
11789
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11789
NURSE PRACTITIONER
CA
01
—
1448
NURSE MIDWIFE
CA
05
—
CMM71141F
—
CA
Enumeration date
09/21/2006
Last updated
12/30/2011
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