Individual
MACALEC BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3230 S BUFFALO DR STE 101, LAS VEGAS, NV 89117-2506
(888) 337-4551
Mailing address
3230 S BUFFALO DR STE 101, LAS VEGAS, NV 89117-2506
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
06/09/2015
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