Individual
AUDREY M SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4741 BRADOCK CT, LINCOLN, NE 68516-4265
(402) 217-2162
Mailing address
3201 W PEACH ST, LINCOLN, NE 68522-9174
(402) 217-2162
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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