Individual
MAENA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
108 S BRAGG ST, WARRENTON, NC 27589-2048
(828) 655-2939
(252) 879-0073
Mailing address
108 S BRAGG ST, WARRENTON, NC 27589-2048
(828) 655-2939
(252) 879-0073
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
83972
NC
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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