Most Relevant Information
Provider Data
| NPI Number: | 1003279639 |
| Provider Name: | MAIRA VELAZQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/31/2016 |
| Last Updated: | 03/31/2016 |
Provider Practice Location
8787 HALL RD
PO BOX BOX 457
LAMONT
CA
932411953
Practice Location Phone/Fax
| Phone: | 6618453717 |
| Fax: | 6618453385 |
Provider Mailing Location
PO BOX 1559
BAKERSFIELD
CA
933021559
Provider Mailing Phone/Fax
| Phone: | 6616353050 |
| Fax: |