Most Relevant Information
Provider Data
| NPI Number: | 1003434598 |
| Provider Name: | MARILY VELASCO ASW |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/10/2020 |
| Last Updated: | 08/20/2021 |
Provider Practice Location
6615 VALLEY HI DR
SACRAMENTO
CA
958237076
Practice Location Phone/Fax
| Phone: | 9164502650 |
| Fax: | 9166816354 |
Provider Mailing Location
6615 VALLEY HI DR
SACRAMENTO
CA
958237076
Provider Mailing Phone/Fax
| Phone: | 9164502650 |
| Fax: | 9166816354 |