| 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 |