Provider Demographics
NPI:1790455376
Name:KUJORI, REATHER WENDI (CNA)
Entity Type:Individual
Prefix:
First Name:REATHER
Middle Name:WENDI
Last Name:KUJORI
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 WINDOVER RD APT 4
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-6054
Mailing Address - Country:US
Mailing Address - Phone:510-684-9529
Mailing Address - Fax:
Practice Address - Street 1:160 WINDOVER RD APT 4
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-6054
Practice Address - Country:US
Practice Address - Phone:510-684-9529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health