Provider Information for 1902274400
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BRENDA TORRES-VELAZQUEZ BA
Sex: Female
NPI: 1902274400
Last Updated: 2024-11-14
Certification Date: 2024-11-14
Certification Date: 2024-11-14
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1902274400 | ||||||||||||
| Enumeration Date | 2015-09-14 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 6786 LILAC AVE RIALTO, CA 92376-2765 United States Phone: 909-684-2952 | Fax: | ||||||||||||
| Primary Practice Address | 317 W F ST ONTARIO, CA 91762-3205 United States Phone: 909-986-7111 | Fax:909-986-0941 | ||||||||||||
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