Mauricio Ernesto Amezquita Velazquez
Student in an Organized Health Care Education/Training Program in Campbell, CA. Individual provider (NPI-1).
NPI number1831636133
StatusActive
Last updated in NPPESMay 10, 2021
Details
- NPI
- 1831636133
- Entity type
- Individual (NPI-1)
- Name
- Mauricio Ernesto Amezquita Velazquez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2017
- Certification date
- May 10, 2021
- Last updated
- May 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
256 E Hamilton Ave Ste CCampbell, CA 95008-0237
Phone 844-322-4823
Mailing address
2530 S Bascom AveApt. E-2
Campbell, CA 95008-5540
Phone 408-796-2979
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All 13 Student in an Organized Health Care Education/Training Program providers in Campbell · All 2,130 providers in Campbell
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