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Individual

DR. THOM NAMAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP DSC

Contact information

Practice address
773 GUILFORD ST, BRATTLEBORO, VT 05301
(802) 254-4765
(802) 254-1092
Mailing address
773 GUILFORD ST, BRATTLEBORO, VT 05301
(802) 254-4765
(802) 254-1092

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010022347
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0NP0772
VT
01
29578
BCBS
Enumeration date
09/14/2006
Last updated
07/08/2007
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