Individual
AVA MULVINA SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 EASTWAY DR, CHARLOTTE, NC 28205-5643
(704) 981-1092
Mailing address
17904 HALTON PARK DR APT 3H, CHARLOTTE, NC 28262-6021
(704) 981-1092
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
C202308607737-1
NC
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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