Individual
MRS. DEVIN MORAE SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3726 N 41ST ST, MILWAUKEE, WI 53216-3045
(262) 880-6428
Mailing address
3726 N 41ST ST, MILWAUKEE, WI 53216-3045
(262) 880-6428
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312915-31
WI
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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