Individual
LAKISHA HENRY-SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4298 FALCON RD, WINSTON SALEM, NC 27106-9425
(205) 902-6802
Mailing address
4298 FALCON RD, WINSTON SALEM, NC 27106-9425
(205) 902-6802
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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