Individual
CAREN DENISE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 ANDREW AVE, FORT RUCKER, AL 36362
(334) 255-7060
Mailing address
301 ANDREW AVE, FORT RUCKER, AL 36362
(334) 255-7060
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1449313
OH
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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