Individual
MS. LINDA RENEE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 E IRELAND RD, SOUTH BEND, IN 46614-3448
(574) 291-0666
Mailing address
2710 WEAVER RD, NILES, MI 49120-8979
(574) 261-7425
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015106A
IN
Other
Enumeration date
11/28/2019
Last updated
11/28/2019
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