Individual
MR. ALLEN WADE BRAITHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9809 CANDELARIA RD NE, STE 2B, ALBUQUERQUE, NM 87112-1458
(505) 553-2354
Mailing address
9809 CANDELARIA RD NE, STE 2B, ALBUQUERQUE, NM 87112-1458
(505) 553-2354
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5251
NM
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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