Individual
TANISHA MONIQUE VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MARBLE AVE NE BLDG 2, ALBUQUERQUE, NM 87106-2058
(505) 272-2190
Mailing address
2600 MARBLE AVE NE BLDG 2, ALBUQUERQUE, NM 87106-2058
(505) 272-2190
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
10/10/2019
Last updated
11/06/2019
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