Individual
CELINA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 CAMINO VELASQUEZ LN., ESPANOLA, NM 87532
(505) 929-9359
Mailing address
PO BOX 1818, ESPANOLA, NM 87532-1818
(505) 929-9359
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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