Individual
CRYSTAL SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 E VINE ST, KALAMAZOO, MI 49001-3039
(269) 599-6714
Mailing address
1184 BILLINGS CT SE APT 3B, GRAND RAPIDS, MI 49508-7369
(269) 599-6714
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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