Individual
DONNA JO BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 KADIES LN, EDINBURG, VA 22824-9606
(540) 335-7473
Mailing address
333 W CORK ST, WINCHESTER, VA 22601-3870
(540) 536-5200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002047392
VA
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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