Mallory Anne Ventsam
Mallory Anne Ventsam is a Specialist in St Petersburg, Florida. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
511 66th St NSt Petersburg, FL 33710-6939
Phone: (727) 498-8544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1932540416 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2013 |
| Last updated in NPPES | July 11, 2013 |
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