Individual
CHRISTINE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6700 KISSENA BLVD # 1A, FLUSHING, NY 11367
(929) 841-8852
Mailing address
6700 KISSENA BLVD, FLUSHING, NY 11367
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330135
NY
Other
Enumeration date
09/24/2017
Last updated
01/23/2021
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