Individual
COREY DOMINIQUE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2005 OLD GREENBRIER RD STE 102, CHESAPEAKE, VA 23320-2649
(757) 524-2238
Mailing address
2325 GRANDY AVE, NORFOLK, VA 23509-2211
(757) 470-6379
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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