Provider Demographics
NPI:1508024399
Name:VELA, J. HELIA (LVN)
Entity Type:Individual
Prefix:
First Name:J.
Middle Name:HELIA
Last Name:VELA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:J.
Other - Middle Name:HELIA
Other - Last Name:MCMILLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3430 HAWAII AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERBANK
Mailing Address - State:CA
Mailing Address - Zip Code:95367-2965
Mailing Address - Country:US
Mailing Address - Phone:209-869-6110
Mailing Address - Fax:209-869-6110
Practice Address - Street 1:3430 HAWAII AVE
Practice Address - Street 2:
Practice Address - City:RIVERBANK
Practice Address - State:CA
Practice Address - Zip Code:95367-2965
Practice Address - Country:US
Practice Address - Phone:209-869-6110
Practice Address - Fax:209-869-6110
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN 175728164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse