Search › California › 225700000X
Mark Vennerholm, CMT
NPI 1053012443 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2305 S Melrose Dr Ste 103
Vista, CA 92081 - Phone
- (760) 230-3898
- Organisation at this address
- Alexandra Channing Md, P.C.
Chelsie Nicole Giambrone, Licensed Clinical Social Worker, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California