Individual
RAYNA K BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 LAKE AVE, MAITLAND, FL 32751-6424
(601) 941-6928
Mailing address
1295 LAKE ROGERS CIR, OVIEDO, FL 32765-7211
(601) 941-6928
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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