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Mallory Ventsam
NPI 1932540416 · on the registry since 2013 · sole proprietor
Practice
- Address
- 511 66th St N
St Petersburg, FL 33710 - Phone
- (727) 498-8544
- Organisation at this address
- Mallory Ventsam Enterprises, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Specialist
174400000X
- Sex
- Female
- Record last updated
- 2013-07-11
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 Florida