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Individual

DR. AUDREY MAYA WADHWANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
200 N 455 W, APT 337, SALT LAKE CITY, UT 84193
(509) 389-7041

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
P8181
ID

Other

Enumeration date
09/13/2019
Last updated
09/13/2019
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