Individual
VENESSA POWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2200 TOWER DR, #15105, GEORGETOWN, TX 78626-7900
(512) 733-0123
Mailing address
2200 TOWER DR, #15105, GEORGETOWN, TX 78626-7900
(512) 733-0123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT105158
TX
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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