Individual
VANIA CHINWE EJIOFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4742
(662) 772-3607
Mailing address
2744 ALVIN SPERRY PASS, MOUNT JULIET, TN 37122-6711
(615) 881-4259
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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