Individual
ADURE RENEE VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
(650) 286-4396
Mailing address
2661 69TH AVE, SACRAMENTO, CA 95822-5705
(916) 600-7180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K0000X
CA
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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