Individual
MS. KATINA L SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1529 DIXON RD, ELGIN, SC 29045
(803) 408-1346
(803) 408-6961
Mailing address
215 N. MAGNOLIA ST., SUMTER, SC 29151-1946
(803) 775-9364
(803) 773-6615
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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