Individual
INMACULADA CONCEPCION SIMANCAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 S 5TH ST, SANFORD, NC 27330-4910
(919) 353-1212
Mailing address
511 S 5TH ST, SANFORD, NC 27330-4910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30000506
NC
Other
Enumeration date
05/07/2019
Last updated
11/15/2022
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