Individual
SIMBRIANNA VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 WYOMING ST, SYRACUSE, NY 13204-2927
(315) 835-1834
Mailing address
215 WYOMING ST, SYRACUSE, NY 13204-2927
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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