Individual
MS. SANDRA ELLEN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10192 S MARYLAND PKWY APT 1012, LAS VEGAS, NV 89183-7332
(702) 761-0472
Mailing address
10192 S MARYLAND PKWY APT 1012, LAS VEGAS, NV 89183-7332
(702) 761-0472
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
17150
NV
Other
Enumeration date
01/08/2024
Last updated
01/09/2024
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