Individual
MALLORY VENSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17471 MCNAMARA DR, LIVONIA, MI 48152-3113
(734) 788-5732
Mailing address
17471 MCNAMARA DR, LIVONIA, MI 48152-3113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704377239
MI
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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