Individual
SELENE WORKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N 1900 E RM 4B319, UNIVERSITY OF UTAH, DIVISION OF INFECTIOUS DISEASES,, SALT LAKE CITY, UT 84132-0002
(801) 581-8812
Mailing address
1619 E WILSON AVE, FALK CLINIC SUITE 700, SALT LAKE CITY, UT 84105-3832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
83503201206
UT
Other
Enumeration date
06/09/2011
Last updated
05/24/2021
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