FORTINO VELASCO

ATLANTA, GA
NPI1720616667
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-27
Last Update Date2024-06-06
Business Address
Dr. FORTINO VELASCO MD
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329-2206
Phone number: 404-778-8738
Mailing Address
Dr. FORTINO VELASCO MD
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329-2206
Phone number: 210-693-2077