Individual
SIMI CHARITY OBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 N KANSAS ST STE 744, EL PASO, TX 79901-1443
(915) 213-1289
Mailing address
7049 WESTWIND DR APT 4018, EL PASO, TX 79912-1735
(929) 433-5081
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
941453
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52M4319350
CIGNA
TX
Enumeration date
06/05/2018
Last updated
06/16/2018
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