Individual provider · NPI-1

Kathleen Lyons Barzegar, R.N.

Registered Nurse, College Health · San Jose, CA

NPI number1457720666
StatusActive
Last updated in NPPESSep 17, 2015

Details

NPI
1457720666
Entity type
Individual (NPI-1)
Name
Mrs. Kathleen Lyons Barzegar
Credential
R.N.
Sex
Female
Sole proprietor
No
Enumeration date
Sep 17, 2015
Last updated
Sep 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WC1400X Registered Nurse, College HealthRN 469455CAYes

Practice location

2100 Moorpark Ave
Sc-109
San Jose, CA 95128-2723

Phone 408-288-3724

Mailing address

2100 Moorpark Ave
Sc-109
San Jose, CA 95128-2723

Phone 408-288-3724

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