Individual
KRISTINA VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSC.
Contact information
Practice address
3131 N MAIN ST APT A312, PRESCOTT VALLEY, AZ 86314-2398
(505) 515-5783
Mailing address
3131 N MAIN ST APT A312, PRESCOTT VALLEY, AZ 86314-2398
(505) 515-5783
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86049855
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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