Individual
CHIBUIKE HEREIGNS OTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 COLONIAL AVE SW STE G2, ROANOKE, VA 24015-3100
(540) 208-1785
Mailing address
4627 AFTON LN, ROANOKE, VA 24012-8701
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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