Individual
MISS STEPHANY L SIMOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8583 N AKINS RD APT 104, NORTH ROYALTON, OH 44133-4762
(440) 840-1192
Mailing address
6824 LALEMANT DR, PARMA, OH 44129-5402
(440) 840-1192
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.421469
OH
164W00000X
Licensed Practical Nurse
PN.142821-M-IV
OH
Other
Enumeration date
01/12/2012
Last updated
03/08/2021
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