Tiffany Rebecca Fasano
Physician Assistant in Salt Lake City, UT

License number
Utah 9541054-8906
Issued Date
Sep 21, 2015
Expiration Date
May 31, 2018
Category
Physician Assistant
Type
Physician Assistant CS (Schedule 2-5)
Address
Address
Salt Lake City, UT
Education
UNIVERSITY OF UTAH, Aug 7, 2015
LicenseFiles verified this license of Dec 6, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Tiffany Fasano, age 38
408 E 1700 S, Salt Lake City, UT 84115
(425) 259-4656

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