Individual
LATASHA SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7165 E UNIVERSITY DR STE 155, MESA, AZ 85207-6412
(602) 428-4557
(602) 428-4561
Mailing address
7165 E UNIVERSITY DR STE 155, MESA, AZ 85207-6412
(602) 428-4557
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
145069
OH
246RP1900X
Phlebotomy Technician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
03/14/2024
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