Individual
ALYSSA JITENDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12514921-1206
UT
Other
Enumeration date
10/13/2021
Last updated
10/20/2021
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