Individual
MS. LASHONDA NICOLE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24TH STREET, 1812 NORTH, MILWAUKEE, WI 53205-1410
(414) 267-7201
Mailing address
24TH STREET, 1812 NORTH, MILWAUKEE, WI 53205-1410
(414) 267-7201
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0017863
WI
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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