Madeleine Velasco Latoc
Community Health Worker in San Diego, CA. Individual provider (NPI-1).
NPI number1629664693
StatusActive
Last updated in NPPESNov 13, 2023
Details
- NPI
- 1629664693
- Entity type
- Individual (NPI-1)
- Name
- Madeleine Velasco Latoc
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2020
- Certification date
- Nov 13, 2023
- Last updated
- Nov 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
5755 Oberlin Dr Ste 300San Diego, CA 92121-4717
Phone 800-249-1266
Mailing address
4309 3rd AveSan Diego, CA 92103-1407
Phone 619-876-4502
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All 165 Community Health Worker providers in San Diego · All 61,118 providers in San Diego
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