JORGE ROBERTO MENJIVAR

MCDONOUGH, GA
NPI1740721521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN204394)
Enumeration Date2017-03-14
Last Update Date2022-10-11
Business Address
JORGE ROBERTO MENJIVAR NP-C
105 HONEY LN
MCDONOUGH, GA 30252-6633
Phone number: 803-873-8626
Mailing Address
JORGE ROBERTO MENJIVAR NP-C
105 HONEY LN
MCDONOUGH, GA 30252-6633
Phone number: 678-466-0803
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