Individual
BRITTANY WONGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
864 SCATTERGOOD ST, PHILADELPHIA, PA 19124-1017
(215) 989-7077
Mailing address
864 SCATTERGOOD ST, PHILADELPHIA, PA 19124-1017
(215) 989-7077
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
82583601
PA
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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