Individual
CHANELLE SNELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 581-7766
Mailing address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9538460-1206
UT
Other
Enumeration date
04/28/2021
Last updated
03/04/2024
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