Individual
MARISA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18031 VICTORY BLVD, RESEDA, CA 91335-6421
(559) 920-2922
Mailing address
18031 VICTORY BLVD, RESEDA, CA 91335-6421
(559) 920-2922
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95016627
CA
Other
Enumeration date
12/31/2020
Last updated
05/07/2024
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