Moises Velasco, IDMT
NPI #1639300197 in Edwards Afb, California
Provider Information
- NPI Number
- 1639300197
- Entity Type
- Individual
- Name
- Moises Velasco, IDMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Jul 31, 2009
- Last Updated
- Jan 6, 2013
Practice Location
- Address
- 412 TH MEDICAL GROUP
- Address 2
- 30 NIGHTINGALE RD.
- City
- Edwards Afb
- State
- California
- ZIP Code
- 93524-0001
- Phone
- (661) 277-1130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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