Individual
SANDREA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13937 BRADY, REDFORD, MI 48239-2820
(313) 915-8544
(313) 472-5495
Mailing address
13937 BRADY, REDFORD, MI 48239-2820
(313) 915-8544
(313) 472-5495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110047
MI
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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