Provider Information for 1679276851
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REGILYN TIAIRRA KEYS
Sex: Female
NPI: 1679276851
Last Updated: 2023-03-24
Certification Date: 2023-03-24
Certification Date: 2023-03-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679276851 | ||||||||
| Enumeration Date | 2023-03-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5395 ESTATE OFFICE DR STE 1 MEMPHIS, TN 38119-0614 United States Phone: 901-347-1145 | Fax: | ||||||||
| Primary Practice Address | 5395 ESTATE OFFICE DR STE 1 MEMPHIS, TN 38119-0614 United States Phone: 901-232-1956 | Fax:901-347-1145 | ||||||||
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