Individual
LATOYA TIA MARIE VELIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
2621 170TH STREET CT E, TACOMA, WA 98445-7328
(253) 318-1605
Mailing address
2621 170TH STREET CT E, TACOMA, WA 98445-7328
(253) 318-1605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60959949
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60959949
WA
Other
Enumeration date
07/03/2019
Last updated
02/24/2023
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