Individual
CHRISTY CIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
802 COLE CT., COVINGTON, LA 70433
(985) 893-2159
Mailing address
802 COLE CT., COVINGTON, LA 70433
(985) 893-2159
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
Z10681
LA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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