Individual
MADASEN ANN PASMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
2723 E SPRING CREEK RD, SALT LAKE CITY, UT 84117-4625
(801) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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