Individual
TASHA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 SAN PEDRO DR NE STE 210, ALBUQUERQUE, NM 87110-4133
(505) 308-8342
Mailing address
2201 SAN PEDRO DR NE STE 210, ALBUQUERQUE, NM 87110-4133
(505) 271-0329
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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