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Individual

MR. CHRISTIAN ANGELO VENTURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RP, NRAEMT, EMT-INST

Contact information

Practice address
324 VT 110, CHELSEA, VT 05038
(732) 372-2141
Mailing address
279 VT 110, TUNBRIDGE, VT 05077-9578

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
097.0134992
VT
102L00000X
Psychoanalyst
097.0134992
146M00000X
Intermediate Emergency Medical Technician
105065
VT
146N00000X
Basic Emergency Medical Technician
Primary
105065
VT
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
097.0134992
VT

Other

Enumeration date
09/20/2020
Last updated
05/14/2021
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