Individual
DOMINIQUE D SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1164 KAMPENGA AVE, MUSKEGON, MI 49442-5215
(231) 343-6195
Mailing address
1164 KAMPENGA AVE, MUSKEGON, MI 49442-5215
(231) 343-6195
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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