Individual
ERIKA AVIS BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
232 2ND AVE S STE 201, KENT, WA 98032-5862
(253) 859-0300
(253) 859-0745
Mailing address
12620 197TH AVE E, BONNEY LAKE, WA 98391-6066
(253) 455-0815
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
61558328
WA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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