Individual
ATHENA MINE VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
381 RUIN CREEK RD, HENDERSON, NC 27536-2932
(252) 430-0666
Mailing address
381 RUIN CREEK RD, HENDERSON, NC 27536-2932
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13198
NC
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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