Individual
MISS BRENDA JULIENNE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2365 WATERBURY AVE, ROOM 2250, BRONX, NY 10462
(347) 204-4133
Mailing address
140 ASCH LOOP, APT 16G, BRONX, NY 10475-4033
(347) 204-4133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
217907-1
NY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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