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Search › Illinois › 101Y00000X

Mayra Velasco

NPI 1720322662 · on the registry since 2012

Practice

Address
5601 State St
East Saint Louis, IL 62203
Phone
(618) 213-3170
Fax
(618) 213-3171
Organisation at this address
Hoyleton Youth And Family Services
Pure Living Recovery And Rehabilition Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2012-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois