Individual
JESSICA MAEVE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN / IC
Contact information
Practice address
85-175 FARRINGTON HWY APT B401, WAIANAE, HI 96792-2145
(808) 379-5229
Mailing address
85-175 FARRINGTON HWY APT B401, WAIANAE, HI 96792-2145
(808) 379-5229
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19181
HI
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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