Individual
CLARENCE EMANUEL VENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 CAROL SUE AVE, GRETNA, LA 70056-4445
(504) 366-1535
Mailing address
1037 LEE ST, MARRERO, LA 70072-2349
(504) 615-0444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024775
LA
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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