Individual
DORIS SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4309 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 876-4502
Mailing address
4309 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 876-4502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
539263
CA
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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