Individual
TINA MICHELLE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4334 SECOR RD, TOLEDO, OH 43623-4234
(419) 475-4449
Mailing address
4334 SECOR RD, TOLEDO, OH 43623-4234
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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