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Fernando Velasquez

Driver in San Jose, CA. Individual provider (NPI-1).

NPI number1548080997
StatusActive
Last updated in NPPESOct 11, 2024

Details

NPI
1548080997
Entity type
Individual (NPI-1)
Name
Mr. Fernando Velasquez
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 11, 2024
Certification date
Oct 11, 2024
Last updated
Oct 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X Driver––Yes
2472R0900X Technician, Other, Renal Dialysis––

Practice location

5805 Charlotte Dr # A-323
San Jose, CA 95123-3619

Phone 408-603-5301

Mailing address

5805 Charlotte Dr # A-323
San Jose, CA 95123-3619

Phone 408-603-5301

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