Braxton Tate Cullum
Braxton Tate Cullum is a Community Health Worker in Salt Lake City, Utah. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
117 W 400 SSalt Lake City, UT 84101-1916
Phone: (801) 428-4257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1508681032 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 19, 2024 |
| Last updated in NPPES | November 19, 2024 |
| Certification date | November 19, 2024 |
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