Individual
JAZMAINE L WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 W 1ST AVE, TOPPENISH, WA 98948-1525
(509) 864-0478
Mailing address
16 W 1ST AVE, TOPPENISH, WA 98948-1525
(509) 864-0478
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
WA
Other
Enumeration date
02/23/2022
Last updated
12/27/2022
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