Individual
STEPHANIE C BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
3717 N 67TH AVE, OMAHA, NE 68104-2505
(402) 819-8657
Mailing address
3717 N 67TH AVE, OMAHA, NE 68104-2505
(402) 819-8657
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
328496
NE
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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