Braden Consolvo
NPI #1720853914 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1720853914
- Entity Type
- Individual
- Name
- Braden Consolvo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Nov 17, 2023
- Last Updated
- Nov 17, 2023
Practice Location
- Address
- 519 W CENTER ST
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-2215
- Phone
- (801) 310-6880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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