Individual
EMILY RUTH BRADFORD-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
355 E 21ST ST, STE H, SAN BERNARDINO, CA 92404-4851
(909) 886-2609
(909) 886-0328
Mailing address
1560 CHERYL ST, REDLANDS, CA 92374
(951) 367-5734
(909) 886-0328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166603
VA
Other
Enumeration date
04/04/2007
Last updated
01/02/2020
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