Individual
MS. FERN CANISHA SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
30056 EUCLID AVE UNIT 5, WICKLIFFE, OH 44092-1664
(216) 392-3136
Mailing address
30056 EUCLID AVE UNIT 5, WICKLIFFE, OH 44092-1664
(216) 392-3136
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN147129MIV
OH
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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