Individual
BRYAN ADAM VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8616 MOCK HEATHER RD NW, ALBUQUERQUE, NM 87120-4250
(505) 410-9364
Mailing address
8616 MOCK HEATHER RD NW, ALBUQUERQUE, NM 87120-4250
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R57792
NM
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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