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Individual

ESTHER MENJIVAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
893 LAVERGNE LN, LA VERGNE, TN 37086-4291
(615) 605-8595
Mailing address
893 LAVERGNE LN, LA VERGNE, TN 37086-4291

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/03/2019
Last updated
09/03/2019
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