MR. Cody M Simmons, CERTIFIED PERSONAL T

NPI #1972378602 in Lincoln, Illinois

Provider Information

NPI Number: 1972378602
Entity Type: Individual
Name: MR. Cody M Simmons, CERTIFIED PERSONAL T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: CERTIFIED PERSONAL T
Enumeration Date: Nov 22, 2023
Last Updated: Nov 22, 2023

Practice Location

Address: 711 HICKOX
City: Lincoln
State: Illinois
ZIP Code: 62656-9778
Phone: (217) 671-2573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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