Individual
IORDANIS EKIMOGLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5203 MARYLAND WAY STE 104, BRENTWOOD, TN 37027-5022
(615) 560-6622
Mailing address
1012 TANYARD SPRINGS DR, SPRING HILL, TN 37174-6131
(931) 374-8737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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