Individual
SHADAWN SCOTT SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5010 CATALPHA RD, BALTIMORE, MD 21214-2120
(443) 627-0481
Mailing address
5010 CATALPHA RD, BALTIMORE, MD 21214-2120
(443) 627-0481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R197239
MD
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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