Individual
JASMIN ELIZABETH CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4745 S 3200 W, TAYLORSVILLE, UT 84129-2822
(801) 964-6214
(801) 858-4670
Mailing address
646 E 3065 S, SOUTH SALT LAKE, UT 84106-1351
(801) 910-2137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8441458-1206
UT
Other
Enumeration date
09/26/2012
Last updated
11/12/2021
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