Individual
MAYRA LISETH VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10348 N BAIRD AVE, FRESNO, CA 93730-4711
(818) 392-0340
Mailing address
10348 N BAIRD AVE, FRESNO, CA 93730-4711
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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