Individual
BREK JAMES THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3611 S CAMINO REAL, WASHINGTON, UT 84780-8396
(435) 627-5197
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13970152-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13970152-3102
LICENSE
UT
Enumeration date
03/26/2025
Last updated
03/26/2025
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