Individual
MRS. CHASTITY VELEZ-SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 SE WHITE AVE, PORT ST LUCIE, FL 34983-2672
(772) 708-0454
Mailing address
702 SE WHITE AVE, PORT ST LUCIE, FL 34983-2672
(772) 708-0454
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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