Individual
MS. EDIE L SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
457 E 3300 S, SOUTH SALT LAKE, UT 84115-4112
(801) 597-3019
Mailing address
1174 W 1850 S, WOODS CROSS, UT 84087-2322
(801) 597-3019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3806054701
UT
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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