Individual
JASON SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
226 VANESSA AVE, LAKE CHARLES, LA 70605-6834
(601) 642-5145
Mailing address
226 VANESSA AVE, LAKE CHARLES, LA 70605-6834
(601) 642-5145
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
LA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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