Provider Demographics
NPI:1265967814
Name:ASKALANY AFFLECK, SAHRA
Entity type:Individual
Prefix:
First Name:SAHRA
Middle Name:
Last Name:ASKALANY AFFLECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SAHRA
Other - Middle Name:
Other - Last Name:AFFLECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BIRTH DOULA
Mailing Address - Street 1:5543 W 10180 N
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:UT
Mailing Address - Zip Code:84003-9154
Mailing Address - Country:US
Mailing Address - Phone:801-380-8587
Mailing Address - Fax:
Practice Address - Street 1:5543 W 10180 N
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:UT
Practice Address - Zip Code:84003-9154
Practice Address - Country:US
Practice Address - Phone:801-380-8587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist