Mary Ellen Venzke

NPI #1760704712 in Big Lake, Minnesota

Provider Information

NPI Number
1760704712
Entity Type
Individual
Name
Mary Ellen Venzke
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Adult Companion
Enumeration Date
Feb 18, 2010
Last Updated
Feb 18, 2010

Practice Location

Address
19729 183RD AVENUE
ZIP Code
55309
Phone
(763) 263-1119

Specialties & Taxonomy Codes

Specialty
Adult Companion

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