Provider Demographics
NPI:1437779311
Name:ALEMNJI, CHRISTIANA MBONWOH
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:MBONWOH
Last Name:ALEMNJI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-1925
Mailing Address - Country:US
Mailing Address - Phone:781-325-2824
Mailing Address - Fax:
Practice Address - Street 1:9 VALLEY ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-1925
Practice Address - Country:US
Practice Address - Phone:781-325-2824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2323515163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse