Most Relevant Information
Provider Data
| NPI Number: | 1003413733 |
| Provider Name: | CARMEN MICHELLE SIMMONS |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/06/2020 |
| Last Updated: | 10/08/2020 |
Provider Practice Location
1609 CRESTWOOD RD
MAYFIELD HTS
OH
441243332
Practice Location Phone/Fax
| Phone: | 2168327549 |
| Fax: |
Provider Mailing Location
1609 CRESTWOOD RD
MAYFIELD HTS
OH
441243332
Provider Mailing Phone/Fax
| Phone: | 2168327549 |
| Fax: |