Individual
ANJUANISE L KEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4190 MEADOW RIDGE TRL, MEMPHIS, TN 38141-1304
(901) 949-5383
Mailing address
20 OAK SPRINGS CV, OAKLAND, TN 38060-4341
(901) 949-5383
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
071874338
TN
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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