WENDELL JOHN VELASQUEZ

NORTHRIDGE, CA
NPI1417466319
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-09-22
Last Update Date2018-07-26
Business Address
WENDELL JOHN VELASQUEZ ATC
18111 NORDHOFF ST
NORTHRIDGE, CA 91330
Phone number: 510-258-2700
Mailing Address
WENDELL JOHN VELASQUEZ ATC
1620 BANDONI AVE
SAN LORENZO, CA 94580-2104
Phone number: 510-258-2700