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Individual

RHENA N BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
502 W 138TH ST, RIVERDALE, IL 60827-1611
(708) 880-1397
(708) 880-1215
Mailing address
502 W 138TH ST, RIVERDALE, IL 60827
(708) 880-1397
(708) 880-1215

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IL

Other

Enumeration date
12/05/2019
Last updated
12/05/2019
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