VAMSHI VASANTHA RAYA GORANTLA

JACKSON, MS
NPI1942935416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-07-19
Last Update Date2022-07-27
Business Address
VAMSHI VASANTHA RAYA GORANTLA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-4679
Mailing Address
VAMSHI VASANTHA RAYA GORANTLA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-4679
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