Individual
MISS KI'ANA KENTECE SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8700 CROWNHILL BLVD, SAN ANTONIO, TX 78209-1136
(210) 824-5530
(210) 824-5323
Mailing address
9331 FISHERMAN PRT, CONVERSE, TX 78109-2098
(904) 881-6921
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1018524
TX
183700000X
Pharmacy Technician
340101050953503
VA
Other
Enumeration date
04/20/2009
Last updated
11/13/2020
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