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NPI Code Detail

MEDICARE: BRIELLE MATSUOKA WONG

MEDICARE: BRIELLE MATSUOKA WONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1659198182
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIELLE MATSUOKA WONG
Provider Business Mailing Address
First Line : 1651 N VIRGINIA ST UNIT 551
Second Line :
City : RENO
State : NV
Zip : 89503-2076
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1651 N VIRGINIA ST UNIT 551
Second Line :
City : RENO
State : NV
Zip : 89503-2076
Country : US
Telephone Number : 916-824-4002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2024
Last Update Date : 09/25/2024

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Directions to “ BRIELLE MATSUOKA WONG ” Practice Location

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