Individual
HADIA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6477 W ANNIE LEE WAY, WEST JORDAN, UT 84081-4600
(850) 345-5827
Mailing address
6477 W ANNIE LEE WAY, WEST JORDAN, UT 84081-4600
(850) 345-5827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
12/11/2022
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