VENICE BEACH LLC

WEST DES MOINES, IA
NPI1275227936
Entity TypeOrganization
Authorized ContactSUSAN LATCHAM
Owner
515-884-7849
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2023-06-06
Last Update Date2023-09-22
Business Address
VENICE BEACH LLC
5465 MILLS CIVIC PKWY STE 243
WEST DES MOINES, IA 50266-5320
Phone number: 515-884-7849
Mailing Address
VENICE BEACH LLC
5465 MILLS CIVIC PKWY STE 243
WEST DES MOINES, IA 50266-5320
Phone number:
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