Provider Demographics
NPI:1487460739
Name:VELOZ, ANJIEANETTE VALERIE
Entity type:Individual
Prefix:
First Name:ANJIEANETTE
Middle Name:VALERIE
Last Name:VELOZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANJEANETT
Other - Middle Name:
Other - Last Name:NAVARRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1626 SUNRISE AVE
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93638-4926
Mailing Address - Country:US
Mailing Address - Phone:209-417-0984
Mailing Address - Fax:
Practice Address - Street 1:1626 SUNRISE AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93638-4926
Practice Address - Country:US
Practice Address - Phone:209-417-0984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator