Organization
BRIANNA WUNDERLIN JONAK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA JONAK (INDEPENDENT CONTRACTOR)
(501) 545-0834
Entity
Organization
Contact information
Practice address
2130 CHIPMUNK DR, WASHOE VALLEY, NV 89704-9603
(501) 545-0834
Mailing address
2130 CHIPMUNK DR, WASHOE VALLEY, NV 89704-9603
(501) 545-0834
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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