Most Relevant Information
Provider Data
| NPI Number: | 1003258278 |
| Provider Name: | SUSAN K VEENSCHOTEN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/29/2013 |
| Last Updated: | 07/29/2013 |
Provider Practice Location
680 WILSON AVE
NOVATO
CA
949473825
Practice Location Phone/Fax
| Phone: | 4158921643 |
| Fax: |
Provider Mailing Location
995 DEL GANADO RD
SAN RAFAEL
CA
949032311
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |