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Individual

SANDRA EUGENIA VELAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3425 BERNADETTE CT APT B, WEST COVINA, CA 91792-4719
(626) 483-5146
Mailing address
3425 BERNADETTE CT APT B, WEST COVINA, CA 91792-4719

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
52063
CA

Other

Enumeration date
03/31/2015
Last updated
03/31/2015
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