Individual
VALERIA SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4795 MCWILLIE DR STE 105, JACKSON, MS 39206-5628
(769) 251-5602
Mailing address
113 MAXWELL CV, TERRY, MS 39170-9514
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P320903
MS
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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