Individual
VENANDE SIMEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GLENCREE, CONYERS, GA 30012-8102
(561) 720-7376
Mailing address
3300 GLENCREE, CONYERS, GA 30012-8102
(561) 720-7376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
310580
GA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
310580
GA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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