Individual
TRISTA D SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421155 E 1147 RD, EUFAULA, OK 74432-5595
(918) 758-7754
Mailing address
421155 E 1147 RD, EUFAULA, OK 74432-5595
(918) 758-7754
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OK
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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