MARK EDWARD VENNERHOLM

VISTA, CA
NPI1053012443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: CA  93040)
Enumeration Date2023-03-13
Last Update Date2023-03-13
Business Address
Mr. MARK EDWARD VENNERHOLM CMT
2305 S MELROSE DR STE 103
VISTA, CA 92081-8789
Phone number: 760-230-3898
Mailing Address
Mr. MARK EDWARD VENNERHOLM CMT
208 B AVE APT A
CORONADO, CA 92118-1998
Phone number: 940-206-1838