Individual
FLORA JEAN SIMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4533 PARK AVE, ASHTABULA, OH 44004-6930
(440) 992-9441
Mailing address
1667 WALNUT BLVD, ASHTABULA, OH 44004-2814
(440) 964-6971
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004622
OH
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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