Individual
SHRINA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5169 S COTTONWOOD ST STE 303, MURRAY, UT 84107-6768
(801) 507-3747
Mailing address
4467 N 196TH AVE, LITCHFIELD PARK, AZ 85340-5794
(630) 923-9676
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158016337
MOLINA HEALTH
IL
Enumeration date
03/22/2023
Last updated
03/22/2023
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