Individual provider · Type 1 NPI

Mauricio Ernesto Amezquita Velazquez

Student in an Organized Health Care Education/Training Program · Campbell, CA

NPI number 1831636133 Active

Practice location

256 E Hamilton Ave Ste C
Campbell, CA 95008-0237

Call (844) 322-4823 Map

Mailing address

2530 S Bascom Ave, Apt. E-2
Campbell, CA 95008-5540

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831636133

Mauricio Ernesto Amezquita Velazquez's National Provider Identifier is 1831636133, issued on Jan 24, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Campbell, CA. The record was last updated on May 10, 2021.