Individual
JAQUELINE VENTURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
875 UNION AVE FL 5, ROOM N517, MEMPHIS, TN 38103-3513
(901) 448-2242
Mailing address
875 UNION AVE FL 5, ROOM N517, MEMPHIS, TN 38103-3513
(901) 448-2242
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DE60315764
WA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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