THOMAS ADAM BRAITHWAITE

PROVO, UT
NPI1639444045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WD0400X Registered Nurse, Diabetes Educator
(Licence: UT  5533931-3102)
Enumeration Date2012-03-19
Last Update Date2012-03-19
Business Address
-- THOMAS ADAM BRAITHWAITE RN
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7546
Mailing Address
-- THOMAS ADAM BRAITHWAITE RN
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number:
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