Individual
JENNIFER BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 CORBIN CIR, CABOT, AR 72023-7733
(501) 286-2096
Mailing address
136 CORBIN CIR, CABOT, AR 72023-7733
(501) 286-2096
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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