Individual
KENDRA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6525 PARK MANOR DR APT 42, METAIRIE, LA 70003-3959
(985) 992-0498
Mailing address
6525 PARK MANOR DR APT 42, METAIRIE, LA 70003-3959
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
280637
LA
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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