Search › Pennsylvania › 104100000X
Malanna Simmons
NPI 1760051478 · on the registry since 2021 · sole proprietor
Practice
- Address
- 6249 Hazel Ave
Philadelphia, PA 19143 - Phone
- (612) 413-4087
- Organisation at this address
- Be4au
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
1041C0700X
251S00000X - Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-14
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 Pennsylvania