Delesa Simmons

NPI #1255783775 in Saint Louis, Missouri

Provider Information

NPI Number: 1255783775
Entity Type: Individual
Name: Delesa Simmons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Jul 8, 2016
Last Updated: Jul 8, 2016

Practice Location

Address: 3863 CLEVELAND AVE
City: Saint Louis
State: Missouri
ZIP Code: 63110-4009
Phone: (314) 664-3927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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