person
Breanna Michele Wong
Student in an Organized Health Care Education/Training Program in Taylorsville, Utah
NPI 1770333692

Breanna Michele Wong is a Student in an Organized Health Care Education/Training Program based in Taylorsville, UT. Breanna Michele Wong practices in Taylorsville, UT. The NPI Number for Breanna Michele Wong is 1770333692 and holds a License No. (Utah).

The current practice location address for Breanna Michele Wong is 3008 W Mount Logan Way, Taylorsville, UT and can be reached out via phone at 801-809-5888.

Location: 3008 W Mount Logan Way, Taylorsville, UT, 84129-6848
person
Provider Profile Details
NPI Number
1770333692
Provider Name
Breanna Michele Wong
Credential
Provider Entity Type
Individual
Gender
Female
Address
3008 W Mount Logan Way, Taylorsville, UT, 84129-6848
Phone Number
801-809-5888
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3008 W Mount Logan Way
City
State
Zip
84129-6848
Phone Number
801-809-5888
Fax Number
person
Provider Business Mailing Address Details
Address
3008 W Mount Logan Way
City
State
Zip
84129-6848
Phone Number
801-809-5888
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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