Individual
SAHAR BEHROUZ DETLEFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29534 GREENWOOD LN, EVERGREEN, CO 80439-7445
(925) 872-1247
Mailing address
29534 GREENWOOD LN, EVERGREEN, CO 80439-7445
(925) 872-1247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95055435
CA
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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