Individual
JANICE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 W 350 S, LOGAN, UT 84321-8218
(435) 764-4606
Mailing address
1030 W 350 S, LOGAN, UT 84321-8218
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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