Individual
SAMIRA FOCHIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4643 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-2952
(303) 425-0300
Mailing address
4643 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-2952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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