The holder whose full name is Velasco, Jacqueline Pena,come from East Meadow NY,hold the Physician license(NO.01074344A) which status is Active.
| Name | Velasco, Jacqueline Pena |
|---|---|
| License Number | 01074344A |
| License Type | Physician |
| License Status | Active |
| City | East Meadow |
| State | NY |