STEPHEN VENNUM

MCCOMB, MS
NPI1922215722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  7273)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- STEPHEN VENNUM
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
Mailing Address
-- STEPHEN VENNUM
127 MILLER CV
MARION, AR 72364-8004
Phone number: 601-250-4815