Individual
BRANDY BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2003026467
MO
Other
Enumeration date
01/15/2016
Last updated
01/20/2016
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