Individual
MISS ALYSSA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S PARK AVE STE 780, POMONA, CA 91766-1553
(909) 621-6184
Mailing address
892 JAMES PL, POMONA, CA 91767-3310
(626) 347-2207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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