Individual
OPAL M VENELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8200 E JACQUE DR, PRESCOTT VALLEY, AZ 86314-6172
(928) 227-1899
Mailing address
6484 E ALWICK WAY, PRESCOTT VALLEY, AZ 86314-6848
(602) 448-3353
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-133-3
AZ
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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