Provider Demographics
NPI:1760936389
Name:VELASQUEZ, DARLINDA ANN (LVN)
Entity Type:Individual
Prefix:MS
First Name:DARLINDA
Middle Name:ANN
Last Name:VELASQUEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 CANYON OAK DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6859
Mailing Address - Country:US
Mailing Address - Phone:956-206-0236
Mailing Address - Fax:956-568-5105
Practice Address - Street 1:220 CANYON OAK DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6859
Practice Address - Country:US
Practice Address - Phone:956-206-0236
Practice Address - Fax:956-568-5105
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker