Individual
JASMINE SHARIFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5926 FASHION POINT DR STE 120, OGDEN, UT 84403-4547
(801) 747-2800
Mailing address
5926 FASHION POINT DR STE 120, OGDEN, UT 84403-4547
(801) 747-2800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
12691635-1206
UT
Other
Enumeration date
08/26/2020
Last updated
07/01/2022
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