Individual
MS. JESSICA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1475 JESSE JEWELL PKWY NE UNIT 300, GAINESVILLE, GA 30501-3806
(678) 430-3110
Mailing address
1475 JESSE JEWELL PKWY NE UNIT 300, GAINESVILLE, GA 30501-3806
(678) 430-3110
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12446
GA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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