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1023773579
KETURAH BRAITHWAITE
SAN BERNARDINO, CA
NPI
1023773579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 61065)
Enumeration Date
2021-11-01
Last Update Date
2023-06-29
Business Address
Ms. KETURAH BRAITHWAITE PA-C
941 KENDALL DR STE C
SAN BERNARDINO, CA 92407-4156
Phone number: 302-354-7476
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Mailing Address
Ms. KETURAH BRAITHWAITE PA-C
PO BOX 90483
SAN BERNARDINO, CA 92427-1483
Phone number: 302-354-7476
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