Individual
MARIA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 439-7626
Mailing address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 439-7626
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-ZPIQEX
CA
Other
Enumeration date
02/23/2024
Last updated
09/27/2024
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