Individual
DR. JENNIFER THERESE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10623 CRESTWOOD DR, MANASSAS, VA 20109-3433
(703) 361-7131
(703) 330-2065
Mailing address
10366 BARRINGTON PARK CIR, MANASSAS, VA 20110-6767
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102203986
VA
208000000X
Pediatrics Physician
BP10042728
TX
Other
Enumeration date
07/13/2012
Last updated
01/27/2016
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