Individual
LAFAYE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39201 POLO CLUB DR APT 201, FARMINGTON HILLS, MI 48335-5626
(734) 679-4832
Mailing address
39201 POLO CLUB DR APT 201, FARMINGTON HILLS, MI 48335-5626
(734) 679-4832
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703084971
MI
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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