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Individual

CRAIG SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1532 OCEAN HWY STE 102, POCOMOKE CITY, MD 21851-3023
(443) 437-7128
Mailing address
2243 PIKE DR, GREENBACKVILLE, VA 23356-2670
(443) 735-6705

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002076818
VA

Other

Enumeration date
12/16/2019
Last updated
11/18/2024
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