Individual
PHILIP JORGE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
1101 KUKULU ST UNIT 71, KAPOLEI, HI 96707-4537
(224) 627-2710
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-52987
HI
Other
Enumeration date
03/26/2018
Last updated
07/06/2023
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