Individual
MS. CHARLIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
Mailing address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28066679A
IN
Other
Enumeration date
06/24/2014
Last updated
07/08/2014
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