Sage Simon
Dietitian, Registered in Lodi, OH. Individual provider (NPI-1).
NPI number1457074726
StatusActive
Last updated in NPPESSep 22, 2022
Details
- NPI
- 1457074726
- Entity type
- Individual (NPI-1)
- Name
- Sage Simon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2022
- Certification date
- Sep 22, 2022
- Last updated
- Sep 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | OH | Yes |
Practice location
225 Elyria StLodi, OH 44254-1031
Phone 330-948-1222
Mailing address
1215 W 10th St Apt 832Cleveland, OH 44113-1283
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