Individual
DEBRA L SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 SUNRISE BLVD, ROMNEY, WV 26757-6348
(304) 822-0116
Mailing address
143 SUNRISE BLVD, ROMNEY, WV 26757-6348
(304) 822-0116
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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