Individual
PRINCESS JUSTICE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
39055
FL
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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