Individual
MARLENE BRADOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4614 S FEY RD, PORT ANGELES, WA 98363-9466
(360) 460-4107
Mailing address
4614 FEY RD, PORT ANGELES, WA 98363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60087471
WA
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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