Shahram Fazlali
Shahram Fazlali is a Home Health Aide in Henderson, Nevada. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1575 Comfort Hills StHenderson, NV 89014-7617
Phone: (310) 467-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence 002140367 (CA) |
|---|
Record details
| NPI number | 1235745720 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 20, 2020 |
| Last updated in NPPES | September 20, 2020 |
| Certification date | September 20, 2020 |
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