Individual
CHISOM EZENWENYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 N 12TH ST, RICHMOND, VA 23298-5009
(919) 937-1097
Mailing address
5315 PAGEFORD DR, DURHAM, NC 27703-5877
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0203021395
VA
Other
Enumeration date
04/18/2026
Last updated
04/18/2026
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