Individual
ALLISON NOELLE VENCILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2409 UNIVERSITY AVE, AUSTIN, TX 78712-1112
(512) 560-9990
Mailing address
2409 UNIVERSITY AVE, AUSTIN, TX 78712-1112
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
270427
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
39413
TX
Other
Enumeration date
01/27/2020
Last updated
09/02/2021
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