Individual
EDDIEE VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 SOUTHERLY RD, TOWSON, MD 21204-2611
(302) 396-0513
Mailing address
913 SOUTHERLY RD APT 462, TOWSON, MD 21204-2647
(302) 396-0513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R257017
MD
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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