Individual
DONNA JEAN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
4123 CORNWALL ST, BERKLEY, MI 48072-1660
(124) 876-3203
Mailing address
4123 CORNWALL ST, BERKLEY, MI 48072-1660
(124) 876-3203
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3255023
MI
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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