Individual
SAGE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-1222
Mailing address
1215 W 10TH ST APT 832, CLEVELAND, OH 44113-1283
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
OH
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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