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NPI Code Detail

MEDICARE: MAYRA LISETH VELASQUEZ

MEDICARE: MAYRA LISETH VELASQUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171R00000XInterpreter

General Provider Information

NPI Number : 1952259814
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYRA LISETH VELASQUEZ
Provider Business Mailing Address
First Line : 10348 N BAIRD AVE
Second Line :
City : FRESNO
State : CA
Zip : 93730-4711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10348 N BAIRD AVE
Second Line :
City : FRESNO
State : CA
Zip : 93730-4711
Country : US
Telephone Number : 818-392-0340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ MAYRA LISETH VELASQUEZ ” Practice Location

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