TANISHA SIMMONS

Driver

NPI: 1558249953Individual

Specialties, Licenses & Credentials

Personal Care Attendant

Technician — Personal Care Attendant

Code: 3747P1801X

21619565(AZ)

DriverPrimary

Driver

Code: 172A00000X

21619565(IN)

Contact & Hours

Address: 614 E CALLE CHULO RD
GOODYEAR, AZ 85338
Phone: (219) 290-6662

Quick Facts

NPI: 1558249953
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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