Individual ProviderCourtney Leann VelasquezLicensed Vocational NurseNursing Service ProvidersPractice Address2344 Loveridge Rd Apt 103, Pittsburg, CA 94565-5278(925) 565-8865PECOS EnrollmentBased on the most recent information from CMS, provider Courtney Leann Velasquez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1538850722Provider TypeIndividualFull NameVelasquez, Courtney LeannCredentialLVNGenderFemaleSole ProprietorYesEnumeration Date5/17/2023Last Updated5/17/2023Contact InformationPractice LocationPractice Address2344 Loveridge Rd Apt 103, Pittsburg, CA 94565-5278Phone(925) 565-8865FaxUnlisted FaxMailing LocationMailing Address2344 Loveridge Rd Apt 103, Pittsburg, CA 94565-5278Phone(925) 565-8865FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense705724California