Individual
LAQUANA BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 COURT DR, GASTONIA, NC 28054-1478
(980) 285-3900
Mailing address
8101 WOODSCAPE DR APT P, CHARLOTTE, NC 28212-0231
(937) 245-3562
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
42637733
NC
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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