Individual
HENRIETTA A SIMONSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 MADRONE ST, WILLITS, CA 95490-4225
(707) 456-3050
Mailing address
6801 THIRD GATE RD, WILLITS, CA 95490-9566
(707) 459-9488
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN 418370
CA
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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