Individual
CHRISTINE ANN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N4391 W COUNTY ROAD A, PLYMOUTH, WI 53073-4427
(920) 980-5224
Mailing address
N4391 W COUNTY ROAD A, PLYMOUTH, WI 53073-4427
(920) 980-5224
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
18301-31
WI
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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