Individual
CAMILLE VIOLET VENCZEL-LOONAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 539-4735
Mailing address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 359-9041
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SWB-2025-0483
NM
Other
Enumeration date
06/09/2025
Last updated
11/12/2025
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