LANE SIMONS

IONE, CA
NPI1265176622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  107198)
Enumeration Date2022-04-22
Last Update Date2022-04-22
Business Address
LANE SIMONS
4001 STATE HIGHWAY 104
IONE, CA 95640
Phone number: 530-312-2014
Mailing Address
LANE SIMONS
9114 VISTA DOME CT
FAIR OAKS, CA 95628-4185
Phone number: 530-312-2014