Individual
FARESHA L SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 WASHINGTON AVE, APT 1105, TOWSON, MD 21204-4700
(601) 519-8585
Mailing address
212 WASHINGTON AVE, APT 1105, TOWSON, MD 21204-4700
(601) 519-8585
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AC001161
MD
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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