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 Date2026-06-09
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
PO BOX 980257
RICHMOND, VA 23298-0257
Phone number: 804-828-9783