Individual
MS. SHANWANDA SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11236 HIGHWAY 16, AMITE, LA 70422-4146
(985) 748-2220
Mailing address
PO BOX 716, NATALBANY, LA 70451-0716
(985) 474-9025
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
220394
LA
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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