Individual
FELICIA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16861 LESURE ST, DETROIT, MI 48235-4012
(313) 701-8283
Mailing address
16861 LESURE ST, DETROIT, MI 48235-4012
(313) 701-8283
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704246913
MI
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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