Individual
MARTHA LORENA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 N 67TH AVE UNIT 2444, PHOENIX, AZ 85033-1666
(480) 468-2902
Mailing address
4545 N 67TH AVE UNIT 2444, PHOENIX, AZ 85033-1666
(480) 468-2902
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
305S00000X
AZ
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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