Individual
AYANNA SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2509 WISTERIA LN, KILLEEN, TX 76549-7654
(254) 371-1227
Mailing address
2509 WISTERIA LN, KILLEEN, TX 76549-5046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
785123
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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