Most Relevant Information
Provider Data
| NPI Number: | 1003576307 |
| Provider Name: | MELISSA GRACE VELAZQUEZ RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WN0002X |
| Specialty: | Registered Nurse |
| License Number: | 634376 |
Most Important Dates
| Enumeration Date: | 12/28/2021 |
| Last Updated: | 12/28/2021 |
Provider Practice Location
98 COSHWAY PL
TONAWANDA
NY
141505215
Practice Location Phone/Fax
| Phone: | 7164307797 |
| Fax: |
Provider Mailing Location
98 COSHWAY PL
TONAWANDA
NY
141505215
Provider Mailing Phone/Fax
| Phone: | 7164307797 |
| Fax: |