NPI | 1790235166 |
---|---|
Former Name | DIEGUITA ANN VELASQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 094006479RN) |
Enumeration Date | 2016-10-10 |
Last Update Date | 2016-10-10 |