MICHELLE EJIOFOR

BROCKTON, MA
NPI1942586292
Former NameMICHELLE GRAEFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MA  PA4550)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: MD  C0004561)
Enumeration Date2011-11-01
Last Update Date2021-01-22
Business Address
MICHELLE EJIOFOR
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 717-222-8138
Mailing Address
MICHELLE EJIOFOR
110 LIBERTY ST
BROCKTON, MA 02301-5674
Phone number: 508-565-3055