Adin Matthew Mora Velazquez Jr

NPI #1467079871 in Monticello, Florida

Provider Information

NPI Number
1467079871
Entity Type
Organization
Organization Name
Adin Matthew Mora Velazquez Jr
Primary Specialty
Adult Companion
Enumeration Date
Jul 1, 2020
Last Updated
Jul 1, 2020

Practice Location

Address
2302 S JEFFERSON HWY
State
Florida
ZIP Code
32344-5102
Phone
(808) 315-3031

Authorized Official

Name
ADIN MATTHEW MORA VELAZQUEZ JR.
Title
OWNER
Phone
(808) 315-3031

Specialties & Taxonomy Codes

Specialty
Adult Companion

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