Individual
MAGGIE MAXIMA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
12063 SHAVER LN, REDDING, CA 96003-1684
(530) 440-9918
Mailing address
12063 SHAVER LN, REDDING, CA 96003-1684
(530) 440-9918
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
25309
CA
124Q00000X
Dental Hygienist
Primary
HAP390
CA
Other
Enumeration date
08/17/2010
Last updated
10/29/2013
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