Individual
ANTIONETTE RENE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4860 Y ST STE 2300, SACRAMENTO, CA 95817-2307
(916) 734-2833
Mailing address
3030 ALTA VIEW DR, SAN DIEGO, CA 92139-3395
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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