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Individual

TINA MARIE SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
920 N GALLATIN AVENUE EXT, UNIONTOWN, PA 15401-2112
(724) 562-9076
Mailing address
PO BOX 141, WEST LEISENRING, PA 15489-0141
(724) 562-9076
(724) 438-3379

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1025571920002
PA

Other

Enumeration date
12/31/2017
Last updated
12/31/2017
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