Individual
MARY CHIKWENDU ANANEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5906 KRISTEN DR, JACKSON, MS 39211-2832
(601) 519-9894
Mailing address
5906 KRISTEN DR, JACKSON, MS 39211-2832
(601) 519-9894
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P325052
MS
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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