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Individual

LISA MADRID VELASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3300 BUENA VISTA RD STE K, BAKERSFIELD, CA 93311-9750
(661) 664-5997
Mailing address
2611 S FAIRFAX RD, BAKERSFIELD, CA 93307-8501
(661) 331-7387

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95013557
CA

Other

Enumeration date
01/02/2020
Last updated
01/02/2020
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