Individual
SHARON RENEE SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
301 BOULDER DR, HAUGHTON, LA 71037-8955
(318) 218-4043
Mailing address
301 BOULDER DR, HAUGHTON, LA 71037-8955
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
288546
LA
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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