Individual
MR. MARK RANDALL SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
4950 PENINSULA POINT DR, SEASIDE, CA 93955-6509
(831) 324-0589
(650) 615-9995
Mailing address
4950 PENINSULA POINT DR, SEASIDE, CA 93955-6509
(831) 324-0589
(650) 615-9995
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
930251
CA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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