Individual
TANGIE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12469 RICHFIELD BLVD, JACKSONVILLE, FL 32218-9019
(904) 729-8828
(866) 465-0270
Mailing address
12469 RICHFIELD BLVD, JACKSONVILLE, FL 32218-9019
(904) 729-8828
(866) 465-0270
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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