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NPI Code Detail

MEDICARE: BRITTNEY EMI VAOVASA

MEDICARE: BRITTNEY EMI VAOVASA
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1659836393
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEY EMI VAOVASA
Provider Business Mailing Address
First Line : 252 W BROOKLYN AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84101-3024
Country : US
Telephone Number : 801-363-9400
Fax Number : 801-363-7634
Provider Business Practice Location Address
First Line : 252 W BROOKLYN AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84101-3024
Country : US
Telephone Number : 801-363-9400
Fax Number : 801-363-7634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2019
Last Update Date : 02/06/2019

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Directions to “ BRITTNEY EMI VAOVASA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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