Individual
JESSICA SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2961 DYER WAY, PLACERVILLE, CA 95667-9027
(530) 303-8729
Mailing address
2961 DYER WAY, PLACERVILLE, CA 95667-9027
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
B20260121306
CA
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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