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Individual

JOHN T. SIMMONS JR.

Active
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Individual

JOHN T. SIMMONS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
281328
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—

Other

Enumeration date
12/08/2021
Last updated
03/18/2024
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