Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MT.0013969 | CO |
NPI | 1073940441 |
---|---|
Provider Name | Sarah Sazama |
First Address | Denver, CO 80206-5302 |
Second Address | Denver, CO 80206-5302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2013 |
Last Update Date | 01/10/2013 |