Individual
SAHRA MOALIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1398 ZEPHYR ST, LAKEWOOD, CO 80214-4269
(720) 936-0483
Mailing address
1398 ZEPHYR ST, LAKEWOOD, CO 80214-4269
(303) 232-4431
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
2304C3
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460479441
—
CO
Enumeration date
07/26/2016
Last updated
07/26/2016
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