Individual
DANIELA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
631 W AVENIDA DE LA MERCED, MONTEBELLO, CA 90640-2626
(323) 805-1859
Mailing address
631 W AVENIDA DE LA MERCED, MONTEBELLO, CA 90640-2626
(323) 805-1859
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
36698
CA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
AZUSA PACIFIC UNIVERSITY
—
Enumeration date
03/13/2018
Last updated
01/12/2024
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