Individual
WAGMA MOHMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 213-8841
Mailing address
127 S 500 E STE 660, SALT LAKE CITY, UT 84102-2183
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6615369-1206
UT
Other
Enumeration date
03/21/2014
Last updated
11/04/2021
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