Individual
MATHIEU BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
4900 MERIDIAN ST N, HUNTSVILLE, AL 35811-1156
(256) 372-4710
Mailing address
3330 MERIDIAN ST N APT 207, HUNTSVILLE, AL 35811-1589
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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