Individual
ASHLEY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CAJUNDOME BLVD, LAFAYETTE, LA 70506-4271
(337) 482-5681
Mailing address
221 DALE AVE, GRETNA, LA 70056-7861
(505) 460-9210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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