VIVIANA GISELLE VELAZQUEZ

SANTA MONICA, CA
NPI1033842471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA64627)
Enumeration Date2022-07-04
Last Update Date2024-06-12
Business Address
VIVIANA GISELLE VELAZQUEZ
1810 MICHIGAN AVE
SANTA MONICA, CA 90404-4424
Phone number: 310-279-6656
Mailing Address
VIVIANA GISELLE VELAZQUEZ
1810 MICHIGAN AVE
SANTA MONICA, CA 90404-4424
Phone number: 310-279-6656