Individual
KEYLI MENJIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13185 OLD NASHVILLE HWY, SMYRNA, TN 37167
(615) 560-6622
Mailing address
128 MANKIN ST, LA VERGNE, TN 37086-3017
(615) 397-6342
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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