Provider Information for 1689286338
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DINA ROSE VELAZQUEZ LMFT
Sex: Female
NPI: 1689286338
Last Updated: 2020-08-23
Certification Date: 2020-08-23
Certification Date: 2020-08-23
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1689286338 | ||||||||||||||
| Enumeration Date | 2020-08-23 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 500 LEMON PEPPER PL WENDELL, NC 27591-8948 United States Phone: 510-504-2919 | Fax: | ||||||||||||||
| Primary Practice Address | 500 LEMON PEPPER PL WENDELL, NC 27591-8948 United States Phone: 510-504-2919 | Fax: | ||||||||||||||
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