Individual
MANDI J. CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-4250
(801) 544-4227
(801) 544-3724
Mailing address
1410 REDONDO AVE, SALT LAKE CITY, UT 84105-3710
(801) 518-0135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5074219-1206
UT
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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