| NPI | 1003117318 |
|---|---|
| Former Name | LARRY A SIMMONS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: CA 3106) |
| Additional Taxonomies | 172A00000X Driver (Licence: CA D1361389) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |