Individual
SHENA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR REPLACEMENT SPE
Contact information
Practice address
2232 WARFIELD WAY UNIT D, SAN JOSE, CA 95122-3645
(415) 867-0432
Mailing address
2232 WARFIELD WAY UNIT D, SAN JOSE, CA 95122-3645
(415) 867-0432
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/20/2019
Last updated
10/20/2019
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