Khadijah Latisse Theresa Simmonds, CNA

NPI #1518326446 in Newburgh, New York

Provider Information

NPI Number
1518326446
Entity Type
Individual
Name
Khadijah Latisse Theresa Simmonds, CNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse's Aide
Credential
CNA
Enumeration Date
Feb 20, 2016
Last Updated
Feb 20, 2016

Practice Location

Address
159 JOHNSTON ST
ZIP Code
12550-4523
Phone
(845) 219-8402

Specialties & Taxonomy Codes

Specialty
Nurse's Aide

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