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Individual

MIA MONAE BRADFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6 JASMINE AVE, ATWATER, CA 95301-4865
(209) 424-8425
Mailing address
6 JASMINE AVE, ATWATER, CA 95301-4865
(209) 424-8425

Taxonomy

Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
01156761
CA

Other

Enumeration date
08/10/2024
Last updated
08/10/2024
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