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Shaquala Simmons
NPI 1508479742 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3620 Stutz Dr Ste C
Canfield, OH 44406 - Phone
- (614) 779-7063
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 104100000X
- Licence states on file
- OH, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio