Individual
ANA MIRELLA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4356
(530) 527-0414
Mailing address
2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4356
(530) 527-0414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
22493
CA
Other
Enumeration date
10/18/2012
Last updated
04/04/2019
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