Shawnte Simmons
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164079497
StatusActive
Last updated in NPPESAug 21, 2019
Details
- NPI
- 1164079497
- Entity type
- Individual (NPI-1)
- Name
- Shawnte Simmons
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2019
- Last updated
- Aug 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
2770 S Maryland Pkwy Ste 108b-GLas Vegas, NV 89109-1554
Phone 702-463-7779
Mailing address
2117 Living Rock AveLas Vegas, NV 89148
Phone 760-577-3242
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