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Individual

MRS. WYLENE B SIMMONS-ELLINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICENSED MIDWIFE

Contact information

Practice address
2331 N STATE ROAD 7 STE 124, LAUDERDALE LAKES, FL 33313-3771
(954) 484-7698
Mailing address
2331 N STATE ROAD 7 STE 124, LAUDERDALE LAKES, FL 33313-3771
(954) 484-7698

Taxonomy

Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
MW122
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340135900
FL
01
Y4971
BLUE CROSS BLUE SHEILD
FL
Enumeration date
10/25/2007
Last updated
10/25/2007
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