Individual
MR. AUSTIN EDWARD BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
300 E 15TH ST, MERCED, CA 95341-6217
(209) 381-6879
(209) 725-3775
Mailing address
300 E 15TH ST, MERCED, CA 95341-6217
(209) 381-6879
(209) 725-3775
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
837525
CA
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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