Individual
BRIANA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17042 130TH AVE APT 1F, JAMAICA, NY 11434-6106
(917) 418-9644
Mailing address
17042 130TH AVE APT 1F, JAMAICA, NY 11434-6106
(917) 418-9644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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