LESLIE ANNE VENEMAN

GRAND RAPIDS, MI
NPI1285125039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  6901011748)
Enumeration Date2018-05-27
Last Update Date2018-05-27
Business Address
LESLIE ANNE VENEMAN
6730 CASCADE RD SE
GRAND RAPIDS, MI 49546-8718
Phone number: 949-096-0616
Mailing Address
LESLIE ANNE VENEMAN
765 HAMPDEN AVE APT 136
SAINT PAUL, MN 55114-1664
Phone number: 616-808-1175