NPI 1356179519

Patthana Rajvong

Practitioner Driver Murfreesboro, TN

Practice location

Address: 4687 Barfield Crescent Rd, Murfreesboro, TN 37128-6309
Phone: (615) 663-9999

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 085559532 (TN)

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Registry record

NPI: 1356179519
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2024
Record last updated: 22 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.