Individual
MRS. NUTISHA LACOLE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
4594 PINE CREST DR, HAUGHTON, LA 71037-6502
(318) 949-3336
Mailing address
4594 PINE CREST DR, HAUGHTON, LA 71037-6502
(318) 949-3336
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
LA
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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