Individual
SARAH LYNN DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ROSILIE ST, SAN MATEO, CA 94403-4904
(650) 430-1221
Mailing address
100 ROSILIE ST, SAN MATEO, CA 94403-4904
(650) 430-1221
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
849245
CA
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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