Individual
JOQUETTE S SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
166 DANZID DR, SUMMERVILLE, SC 29483-9283
(843) 695-7452
Mailing address
166 DANZID DR, SUMMERVILLE, SC 29483-9283
(843) 695-7452
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2398185
SC
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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