Individual
TANYA CHESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6321 S REDWOOD RD, STE 201, SALT LAKE CITY, UT 84123-6798
(801) 265-2212
(801) 265-0103
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(801) 479-4621
(801) 476-2670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4954476-1206
UT
Other
Enumeration date
10/12/2005
Last updated
06/21/2021
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