Individual
DEANDRE' ANTONIO BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 OCEANVIEW DR, ANCHORAGE, AK 99515-3906
(907) 230-1172
Mailing address
1111 OCEANVIEW DR, ANCHORAGE, AK 99515-3906
(907) 230-1172
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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