Individual
WANDA BETH SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
20 REEF RD., FAIRFIELD, CT 06824
(860) 916-3626
Mailing address
20 REEF RD., FAIRFIELD, CT 06824
(860) 916-3626
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
426
CT
171100000X
Acupuncturist
935
HI
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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