Individual
JUSTIN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20015 WISCONSIN ST, DETROIT, MI 48221-1130
(313) 341-8684
Mailing address
20015 WISCONSIN ST, DETROIT, MI 48221-1130
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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