Individual provider · Type 1 NPI
Shameka Shantl Simmons
Driver · Lake Charles, LA
NPI number
1609546852
Active
Practice location
3267 Snowy Egret Dr
Lake Charles, LA 70615-5364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 006584019 (LA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
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About NPI 1609546852
Shameka Shantl Simmons's National Provider Identifier is 1609546852, issued on Sep 19, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Lake Charles, LA. The record was last updated on Sep 19, 2021.