Individual
ALISHA MICHELLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7632 S MAIN ST, MIDVALE, UT 84047-7106
(385) 222-1711
Mailing address
7632 S MAIN ST, MIDVALE, UT 84047-7106
(385) 222-1711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
359746-1206
UT
Other
Enumeration date
08/30/2013
Last updated
08/17/2023
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