Individual
MRS. CHANTHANOME THEPMANIVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 MURFREESBORO PIKE STE 209, NASHVILLE, TN 37217-6306
(615) 400-3727
Mailing address
2131 MURFREESBORO PIKE STE 209, NASHVILLE, TN 37217-6306
(615) 400-3727
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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