SearchMinnesota183500000X

Raymond Vellenga, RPH

NPI 1356614119 · on the registry since 2012

Practice

Address
7617 172nd Ave Ne
Forest Lake, MN 55025
Phone
(651) 464-5274

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-09

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 Minnesota