Provider Demographics
NPI:1518503861
Name:ROSA VELAZQUEZ, ALIANA (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:ALIANA
Middle Name:
Last Name:ROSA VELAZQUEZ
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:DR
Other - First Name:ALIANA
Other - Middle Name:
Other - Last Name:ROSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND, LAC
Mailing Address - Street 1:4314 268TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-8716
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4314 268TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-8716
Practice Address - Country:US
Practice Address - Phone:206-792-5871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath