Individual
ELIZABETH ANN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 E CHANNEL ST, STOCKTON, CA 95202-2628
(209) 373-2800
Mailing address
7210 MURRAY DR, STOCKTON, CA 95210-3339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
19942
CA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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