Individual
SARAH GERSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 16TH AVENUE CT, GREELEY, CO 80631-4574
(970) 204-0516
Mailing address
1517 16TH AVENUE CT, GREELEY, CO 80631-4574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0017134
CO
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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