Individual
AMAYA BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
490 N GRAPE ST, ESCONDIDO, CA 92025-3079
(760) 975-9939
Mailing address
490 N GRAPE ST, ESCONDIDO, CA 92025-3079
(760) 975-9939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95312992
CA
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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