Tracy R Braithwaite

NPI #1477366805 in Moroni, Utah

Provider Information

NPI Number: 1477366805
Entity Type: Individual
Name: Tracy R Braithwaite
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 29, 2025
Last Updated: Jan 29, 2025

Practice Location

Address: PO BOX 524
City: Moroni
State: Utah
ZIP Code: 84646-0524
Phone: (435) 851-3459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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