Individual
BRADLEY COLIN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 542-4912
Mailing address
7078 CAMINO PACHECO, SAN DIEGO, CA 92111-7669
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
52665
CA
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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