NPI 1306053509

Cyntavia E Simmons, LMP

Practitioner Specialist University Place, WA

Practice location

Address: 2603 Bridgeport Way W Suite a, University Place, WA 98466-4724
Phone: (253) 566-1232
Mailing address: 1615 196th Street CT E, Spanaway, WA 98387-8085

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00020617 (WA)

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Registry record

NPI: 1306053509
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.