Individual
MRS. CECILIA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3265 17TH ST, SAN FRANCISCO, CA 94110-1257
(415) 255-0371
Mailing address
930 MEADE AVE, SAN FRANCISCO, CA 94124-3537
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3800401100
CA
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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