Individual
JAMARKUM BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 STUBBS AVE, MONROE, LA 71201-5622
(318) 325-8748
Mailing address
2320 OLIVER RD, MONROE, LA 71201-2972
(318) 503-3853
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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