JOHN MICHAEL VELASQUEZ

MARION, IN
NPI1174234462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-12-08
Last Update Date2022-12-08
Business Address
JOHN MICHAEL VELASQUEZ
1611 N BROADVIEW DR
MARION, IN 46952-1348
Phone number: 765-661-6132
Mailing Address
JOHN MICHAEL VELASQUEZ
1611 N BROADVIEW DR
MARION, IN 46952-1348
Phone number: