Individual
KYMBERLY BROOKE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, ALC
Contact information
Practice address
1325 POLK AVE, DELTONA, FL 32738-6942
(407) 221-4475
Mailing address
1325 POLK AVE, DELTONA, FL 32738-6942
(407) 221-4475
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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