Individual
TRISTAN SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24360 GARDEN DR APT 1305, EUCLID, OH 44123-2468
(440) 212-8337
Mailing address
24360 GARDEN DR APT 1305, EUCLID, OH 44123-2468
(440) 212-8337
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0092498
OH
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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