Individual
ISABEL ALEJANDRA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011
(323) 432-5086
Mailing address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 432-5086
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
91109
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2017
Last updated
10/08/2019
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