Individual
VELISA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 T ST NE, WASHINGTON, DC 20002-1579
(240) 353-7469
Mailing address
4408 G ST SE APT 33, WASHINGTON, DC 20019-5050
(202) 758-5544
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70423966
—
DC
Enumeration date
11/07/2019
Last updated
11/07/2019
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