Individual
MS. CYNTAVIA E SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2603 BRIDGEPORT WAY W, SUITE A, UNIVERSITY PLACE, WA 98466-4724
(253) 566-1232
Mailing address
1615 196TH STREET CT E, SPANAWAY, WA 98387-8085
(253) 380-5194
(253) 566-3164
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020617
WA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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