MEDICARE: CHIEKO HOKI

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1154000693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIEKO HOKI

Provider Business Mailing Address
First Line	:	3621 S 6580 W
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84128-2450
Country	:	US
Telephone Number	:	801-368-2847
Fax Number	:

Provider Business Practice Location Address
First Line	:	3621 S 6580 W
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84128-2450
Country	:	US
Telephone Number	:	801-368-2847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2023
Last Update Date	:	07/12/2023

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Directions to “ CHIEKO HOKI ” Practice Location

Language	Start Address	Practice Location

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