Doctor Name: | GLORIA ESTHER VELAZCO |
NPI Number: | 1093974354 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 7821 |
Business Practice Address: | East Highway 18 Pine Ridge, SD - 57770 |
Business Phone Number: | 6058675131 |
Business Fax Number: | |
Mailing Address: | Po Box 1201, PINE RIDGE |
State: | SD |
Postal Code: | 57770 |
Phone Number: | 6058675131 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 06/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | 7821 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |