Russell Venanzi
Nursing Home Administrator in Mission Viejo, CA. Individual provider (NPI-1).
NPI number1982007357
StatusActive
Last updated in NPPESSep 30, 2014
Details
- NPI
- 1982007357
- Entity type
- Individual (NPI-1)
- Name
- Russell Venanzi
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2014
- Last updated
- Sep 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376G00000X | Nursing Home Administrator | 306002428 | CA | Yes |
Practice location
26542 El Mar DrMission Viejo, CA 92691-6104
Phone 949-589-0145
Mailing address
26542 El Mar DrMission Viejo, CA 92691-6104
Phone 949-589-0145
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