| NPI | 1972334902 |
|---|---|
| Professional Name | JAIME ERNESTO VELASQUEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 17-661) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |